Individual
MICHAEL ANTHONY RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 LEXINGTON AVE, SAVANNAH, GA 31404
(912) 350-7171
(912) 350-3454
Mailing address
1101 LEXINGTON AVE, SAVANNAH, GA 31404-5502
(912) 350-7171
(912) 350-3454
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
054275
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01353579
AMERIGROUP
—
05
—
276409
—
SC
01
—
511I110475
OLD MEDICARE ID-NON MHUP
GA
05
—
513490585D
—
GA
05
—
513490585F
—
GA
01
—
551966
WELLCARE
GA
01
—
P00829212
RR MEDICARE
GA
Enumeration date
05/19/2006
Last updated
08/03/2018
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