Individual
TAGRID RUIZ MALDONADO
Active
Individual
TAGRID RUIZ MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080C0008X
Child Abuse Pediatrics Physician
Primary
11273476-1205
UT
Other
Enumeration date
05/13/2016
Last updated
03/29/2022
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