# CELINA A RUIZ OD PA

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

## Provider details

- **NPI number:** 1992394092
- **Authorized official:** CELINA RUIZ OD (OWNER)
- **Authorized official phone:** (786) 216-7850

## Contact information

- **Practice address:** 3015 GRAND AVE STE 111, MIAMI, FL 33133-5149
- **Practice address phone:** (786) 216-7850
- **Mailing address:** 355 NE 93RD ST, MIAMI SHORES, FL 33138-2854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 01/13/2021
- **Last updated:** 01/13/2021