Individual
FRANCISCO ROBERTO RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
240 N WICKHAM RD STE 309, MELBOURNE, FL 32935-8661
(321) 752-1630
(321) 690-6578
Mailing address
240 N WICKHAM RD STE 309, MELBOURNE, FL 32935-8661
(321) 752-1630
(321) 690-6578
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME95828
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114023300
—
FL
05
—
275569600
—
FL
01
—
BL659Y
MEDICARE PTAN
FL
Enumeration date
06/02/2006
Last updated
04/01/2025
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