Individual
DIANA IVELISSE RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
11410 SW 245TH ST, HOMESTEAD, FL 33032-4664
(305) 790-1050
Mailing address
11410 SW 245TH ST, HOMESTEAD, FL 33032-4664
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9316150
FL
Other
Enumeration date
02/15/2013
Last updated
02/15/2013
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