Individual
CARLOS RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9555 SW 162 AVE, MIAMI, FL 33196-5114
(786) 389-2248
Mailing address
9555 SW 162ND AVE, MIAMI, FL 33196-6408
(786) 389-2248
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
PA9109982
FL
Other
Enumeration date
01/06/2017
Last updated
04/20/2017
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