MEDICARE: PATRICIA RUIZ MS, SLP

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	235Z00000X	Speech-Language Pathologist	SA11107	FL
2	104100000X	Social Worker
3	235Z00000X	Speech-Language Pathologist	SZ5012	FL
4	235Z00000X	Speech-Language Pathologist	6237	AZ
5	222Q00000X	Developmental Therapist

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750485330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA RUIZ MS, SLP

Provider Business Mailing Address
First Line	:	717 PONCE DE LEON BLVD STE 305A
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-2070
Country	:	US
Telephone Number	:	786-541-7289
Fax Number	:

Provider Business Practice Location Address
First Line	:	717 PONCE DE LEON BLVD STE 305A
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-2070
Country	:	US
Telephone Number	:	786-541-7289
Fax Number	:

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

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	09/25/2025

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Directions to “ PATRICIA RUIZ MS, SLP” Practice Location

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