Individual
DR. NELSON MATOS RUIZ III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 219-9000
Mailing address
PO BOX 3049, BAYAMON, PR 00960-3049
(787) 785-8034
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
14743
PR
2085R0202X
Diagnostic Radiology Physician
Primary
98612
GA
2085R0202X
Diagnostic Radiology Physician
ME132831
FL
Other
Enumeration date
11/15/2006
Last updated
04/24/2026
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