Individual
DAVID E RUIZ
Active
Individual
DAVID E RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
18419
TN
207P00000X
Emergency Medicine Physician
18419
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3801292
—
TN
05
—
3801293
—
TN
01
—
40218
TLC TENNCARE
TN
01
—
4031705
BLUE CROSS
TN
01
—
4152426
BLUE CROSS
TN
01
—
P00297047
MEDICARE RAILROAD
TN
Enumeration date
06/06/2006
Last updated
12/20/2021
Update your record
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