Individual
MR. PATRICK MARCELINO TINEO RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMA, PTC
Contact information
Practice address
10 LORING ST APT 1, WORCESTER, MA 01606-3575
(646) 322-6349
Mailing address
10 LORING ST APT 1, WORCESTER, MA 01606-3575
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
Primary
CHW11512
MA
172V00000X
Community Health Worker
Primary
—
—
246RP1900X
Phlebotomy Technician
—
—
Other
Enumeration date
05/15/2025
Last updated
02/05/2026
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