Individual
DR. GUSTAVO V. RUIZ-SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7726 WINEGARD RD, 2ND FLOOR STE 9, ORLANDO, FL 32809-7147
(407) 930-0050
(407) 751-4804
Mailing address
7726 WINEGARD RD, 2ND FLOOR STE 9, ORLANDO, FL 32809-7147
(407) 930-0050
(407) 751-4804
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
2084P0800X
Psychiatry Physician
Primary
ME136835
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017702600
—
FL
Enumeration date
10/27/2005
Last updated
02/17/2022
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