Individual
REX B RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6201 CENTREVILLE RD, STE 100, CENTREVILLE, VA 20121-2626
(703) 263-9600
(703) 266-1452
Mailing address
PO BOX 791128, BALTIMORE, MD 21279-1128
(703) 391-2030
(703) 273-3943
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101222018
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
217957
ANTHEM
VA
05
—
5619050
—
VA
Enumeration date
06/27/2005
Last updated
11/27/2023
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