| Jose Luis Ruiz Md Pa | |
|
11285 Sw 211th St Ste 304 Cutler Bay FL 33189-2211 | |
| (305) 971-6883 | |
| (305) 971-6836 |
| Full Name | Jose Luis Ruiz Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 11285 Sw 211th St, Cutler Bay, Florida |
| Authorized Official Name and Position | Jose L Ruiz (DIRECTOR) |
| Authorized Official Contact | 3059716883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Luis Ruiz Md Pa 11285 Sw 211th St Ste 304 Cutler Bay FL 33189-2211 Ph: (305) 971-6883 | Jose Luis Ruiz Md Pa 11285 Sw 211th St Ste 304 Cutler Bay FL 33189-2211 Ph: (305) 971-6883 |
| NPI Number | 1780864991 |
|---|---|
| Provider Enumeration Date | 11/06/2007 |
| Last Update Date | 04/27/2015 |
| Medicare PECOS PAC ID | 7113966334 |
|---|---|
| Medicare Enrollment ID | O20050427000963 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780864991 | NPI | - | NPPES |
| 373801903 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME066055 (Florida) | Primary |
| Provider Name | Jose L Ruiz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285631408 PECOS PAC ID: 8820037047 Enrollment ID: I20050428000101 |
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