Individual
MR. ANGEL RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
(718) 991-4516
Mailing address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
(718) 991-4516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
247741
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
247741
NYS LICENSE
NY
Enumeration date
06/25/2008
Last updated
11/15/2010
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