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Individual

ORLANDO I RUIZ RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 841-7856
(321) 843-6432
Mailing address
PO BOX 919741, ORLANDO, FL 32891-9741
(218) 428-4913
(218) 436-3043

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
111442
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036-106976
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME97401
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME0097401
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000470469
BLUECROSS BLUESHIELD
MO
05
036106976
IL
01
1962480830
MULTIPLAN/PHCS
IL
05
1962480830
MO
05
277819000
FL
01
3876271
CIGNA
IL
01
463598
HEALTHLINK
IL
01
483954
GHP
IL
01
6032378
BLUECROSS BLUESHIELD
IL
01
7178107
AETNA
IL
01
753031110
TRICARE PRIME
IL
01
76359
HEALTH ALLIANCE
IL
01
809681
COVENTRY NATIONAL
IL
01
ME97401
MEDICAL LICENSE
FL
01
P00720332
RAILROAD MEDICARE
IL
Enumeration date
01/02/2006
Last updated
06/24/2021
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