Individual
CARLOS HERIBERTO RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 W COLONIAL DR STE 302, ORLANDO, FL 32804-6863
(407) 601-1370
Mailing address
425 W COLONIAL DR STE 302, ORLANDO, FL 32804-6863
(407) 601-1370
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME80316
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03717
BCBS
FL
01
—
260049118
RAILROAD MEDICARE
—
05
—
261229100
—
FL
01
—
QP199
HFMG MA
FL
Enumeration date
06/02/2006
Last updated
04/14/2023
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