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Individual

GLORIA RUIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
433 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 988-1232
Mailing address
433 SAINT MICHAELS DR, SANTA FE, NM 87505-7601

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
80245
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10001150
LOVELACE
05
12385
NM
01
202020883
PRESBYTERIAN HEALTH PLANS
01
2705260
UHC
01
NM001B12
BCBS NM
NM
01
PROVP15203
MOLINA
Enumeration date
07/11/2006
Last updated
05/29/2013
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