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Individual

HECTOR A RUIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2000 NW 87TH AVE STE 204, DORAL, FL 33172-2656
(844) 665-4827
Mailing address
2000 NW 87TH AVE STE 204, DORAL, FL 33172-2656
(844) 665-4827

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
9519275
FL
363L00000X
Nurse Practitioner
Primary
11035163
FL

Other

Enumeration date
09/15/2023
Last updated
09/16/2024
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