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Organization

CENTRO MEDICO RUIZ-MONTERO PC

Active
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Organization

CENTRO MEDICO RUIZ-MONTERO PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAIME RUIZ-MONTERO MD (PRESIDENT)
(219) 397-8965
Entity
Organization

Contact information

Practice address
4320 FIR ST, STE 410, EAST CHICAGO, IN 46312-3052
(219) 397-8965
(219) 397-9351
Mailing address
4320 FIR ST, STE 410, EAST CHICAGO, IN 46312-3052
(219) 397-8965
(219) 397-9351

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01052348
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110241554
MEDICARE RAILROAD
IN
05
200287720B
IN
Enumeration date
02/06/2006
Last updated
07/01/2008
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