Individual
PABLO RUIZ JR.
Active
Individual
PABLO RUIZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1078
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0154410
DEPT OF LABOR
AZ
01
—
1078
TEXAS DEPT OF LABOR
AZ
01
—
2Z2985
HEALTHNET
AZ
01
—
6400097
EVERCARE
AZ
01
—
7499498
AETNA
AZ
01
—
783002
MERCY CARE PLAN
AZ
01
—
AZ0299850
BCBS
AZ
Enumeration date
06/17/2005
Last updated
10/12/2007
Update your record
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