# ESTEBAN ALFONZO RUIZ MD,PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174793871
- **Authorized official:** KELLY FOX (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (727) 484-6169

## Contact information

- **Practice address:** 13910 FIVAY RD STE 15, HUDSON, FL 34667-7130
- **Practice address phone:** (727) 375-1953
- **Practice address fax:** (727) 484-6173
- **Mailing address:** 13910 FIVAY RD STE 15, HUDSON, FL 34667-7130
- **Mailing address phone:** (727) 484-6169
- **Mailing address fax:** (727) 484-6173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME53805 | FL | Yes |

## Other

- **Enumeration date:** 03/10/2008
- **Last updated:** 07/14/2026