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Individual

ELIAS N LEON-RUIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7330
Mailing address
3605 WARRENSVILLE CENTER RD, SHAKER HEIGHTS, OH 44122-5203
(216) 286-6260
(216) 286-6341

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35-043200
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000221109
UNISON
OH
01
000000516044
ANTHEM
OH
05
0397655
OH
01
0583328
BCMH
OH
01
363759
WELLCARE MEDICAID
OH
01
4007546
AETNA
OH
01
743242
BUCKEYE MEDICAID
OH
01
P00406582
RAILROAD MEDICARE
OH
Enumeration date
07/18/2006
Last updated
05/16/2008
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