Individual
JOSE ENRIQUE SAN MIGUEL-RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 TRENT DR, DURHAM, NC 27710-1450
(919) 613-7797
Mailing address
2450 RIVERSIDE AVE, R200, MINNEAPOLIS, MN 55454-1450
(612) 273-8043
(612) 273-7959
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2021-02458
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2016
Last updated
12/20/2021
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