MEDICARE: LOREEN RUIZ APRN

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	363LP2300X	Primary Care Nurse Practitioner	APRN9197357	FL
2	363LF0000X	Family Nurse Practitioner	9197357	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9197357	OTHER	FL	ARNP LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376919621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOREEN RUIZ APRN

Provider Business Mailing Address
First Line	:	4740 N STATE ROAD 7 STE 201
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33319-5839
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1951 SW 172ND AVE STE 308
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33029-5614
Country	:	US
Telephone Number	:	954-431-1904
Fax Number	:	954-431-1914

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

Provider Enumeration Date	:	08/20/2015
Last Update Date	:	03/11/2026

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Directions to “ LOREEN RUIZ APRN” Practice Location

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