Individual
DR. ROBERTO JAVIER RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1131 SE MILITARY DR, STE. 117, SAN ANTONIO, TX 78214-2801
(210) 924-8146
(210) 675-9508
Mailing address
1131 SE MILITARY DR, STE. 117, SAN ANTONIO, TX 78214-2801
(210) 924-8146
(210) 675-9508
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
F4457
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225328-07
WELLMED MEDICAID
TX
01
—
262900YLPS
WELLMED MEDICARE
TX
Enumeration date
01/03/2006
Last updated
10/18/2016
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