Individual
JAIME E RUIZ MONTERO
Active
Individual
JAIME E RUIZ MONTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01052348
IN
207R00000X
Internal Medicine Physician
Primary
01052348A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224980
ANTHEM
IN
01
—
000000224980
ANTHEM BCBS
—
05
—
200287720B
—
IN
01
—
90001247
BCBSIL
IL
Enumeration date
03/06/2007
Last updated
01/04/2012
Update your record
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