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Individual
JOSE BENJAMIN RUIZ-LAGOS
Active
Individual
JOSE BENJAMIN RUIZ-LAGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
063948
GA
208M00000X
Hospitalist Physician
Primary
063948
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11934114
CAQH
—
05
—
1740470749
—
NV
05
—
705366756A
—
GA
Enumeration date
07/26/2007
Last updated
03/12/2018
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