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Individual

DR. LORELL RUIZ-FLORES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
014466-I
PR
2085R0202X
Diagnostic Radiology Physician
Primary
R1632
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
387843101
TX
01
387843102
MEDICAID CSHCN
TX
Enumeration date
09/19/2012
Last updated
10/30/2018
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