Individual
DR. JUAN CARLOS RUBEN RUIZ DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3098 OAK GROVE RD, POPLAR BLUFF, MO 63901-8938
(573) 778-2600
Mailing address
1067 RHINELANDER AVE FL 1, BRONX, NY 10461-1339
(718) 502-1894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
290770
NY
207RC0000X
Cardiovascular Disease Physician
Primary
2021036284
MO
Other
Enumeration date
07/12/2014
Last updated
11/09/2021
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