MEDICARE: JANY MOREIRA 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	103K00000X	Behavior Analyst	1-26-87315	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013656198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANY MOREIRA RUIZ

Provider Business Mailing Address
First Line	:	11038 SW 147TH PL
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33196-3333
Country	:	US
Telephone Number	:	305-303-2760
Fax Number	:

Provider Business Practice Location Address
First Line	:	11038 SW 147TH PL
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33196-3333
Country	:	US
Telephone Number	:	305-303-2760
Fax Number	:

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

Provider Enumeration Date	:	05/27/2022
Last Update Date	:	01/30/2026

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Directions to “ JANY MOREIRA RUIZ ” Practice Location

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