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Individual

ESTEBAN ALFONSO RUIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13910 FIVAY RD STE 15, HUDSON, FL 34667-7130
(727) 484-6169
(727) 484-6173
Mailing address
13910 FIVAY RD STE 15, HUDSON, FL 34667-7130
(727) 484-6169
(727) 844-5425

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME53805
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
049101200
FL
01
0527859
AETNA
FL
01
07434
BC/BS
FL
01
1174793871
NPI GROUP
FL
Enumeration date
06/20/2006
Last updated
06/05/2024
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