Individual
MR. ENRIQUE RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
632 DEL PRADO BLVD N, STE 201, CAPE CORAL, FL 33909-2278
(239) 829-7102
Mailing address
632 DEL PRADO BLVD N, STE 201, CAPE CORAL, FL 33909-2278
(239) 829-7102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-00772
NC
363A00000X
Physician Assistant
Primary
PA9104245
FL
363AS0400X
Surgical Physician Assistant
PA91042445
FL
Other
Enumeration date
02/24/2007
Last updated
11/07/2016
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