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Organization

GUTIERREZ RUIZ MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KARELIA RUIZ MD (PRESIDENT)
(305) 828-9100
Entity
Organization

Contact information

Practice address
1949 W 68TH ST, HIALEAH, FL 33014-4403
(305) 828-9100
(305) 828-5553
Mailing address
1949 W 68TH ST, HIALEAH, FL 33014-4403
(305) 828-9100
(305) 828-5553

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME92389
FL
174400000X
Specialist
ME92976
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
274010900
FL
Enumeration date
09/14/2006
Last updated
05/08/2008
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