Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Enrique Rueda PA

Organization Physician Assistant · NPI 1407973217

Enrique Rueda PA is a Physician Assistant in Miami, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9409 Fontainebleau Blvd Apt 101
Miami, FL 33172-5515
Phone: (305) 554-1491
Fax: (305) 554-7154
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9101498 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA9101498 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9101498 (FL)

Record details

NPI number1407973217
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Enrique Rueda — Pa · (305) 554-1491
NPI enumeratedMarch 25, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address9409 Fontainebleau Blvd, Apt # 101, Miami, FL 33172-7503

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