MEDICARE: MARNIE RUIZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	37711	FL

General Provider Information

NPI Number	:	1013563998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARNIE RUIZ

Provider Business Mailing Address
First Line	:	4300 ALTON RD
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-2948
Country	:	US
Telephone Number	:	305-674-2273
Fax Number	:

Provider Business Practice Location Address
First Line	:	2300 ALTON RD
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-4256
Country	:	US
Telephone Number	:	305-674-2273
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2019
Last Update Date	:	09/02/2023

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Directions to “ MARNIE RUIZ ” Practice Location

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