| Esteban Alfonzo Ruiz Md,pa | |
|
13910 Fivay Rd Ste 15 Hudson FL 34667-7130 | |
| (727) 375-1953 | |
| (727) 484-6173 |
| Full Name | Esteban Alfonzo Ruiz Md,pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 13910 Fivay Rd Ste 15, Hudson, Florida |
| Authorized Official Name and Position | Kelly Fox (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 7274846169 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Esteban Alfonzo Ruiz Md,pa 13910 Fivay Rd Ste 15 Hudson FL 34667-7130 Ph: (727) 375-1953 | Esteban Alfonzo Ruiz Md,pa 13910 Fivay Rd Ste 15 Hudson FL 34667-7130 Ph: (727) 375-1953 |
| NPI Number | 1174793871 |
|---|---|
| Provider Enumeration Date | 03/10/2008 |
| Last Update Date | 06/05/2024 |
| Medicare PECOS PAC ID | 3476714379 |
|---|---|
| Medicare Enrollment ID | O20120420000341 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174793871 | NPI | - | NPPES |
| 049101200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME53805 (Florida) | Primary |
| Provider Name | Esteban A Ruiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740226794 PECOS PAC ID: 2466613369 Enrollment ID: I20120423000637 |
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