MEDICARE: MRS. NIMIA RUIZ PT

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	225100000X	Physical Therapist	1160859	TX

General Provider Information

NPI Number	:	1861812836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NIMIA RUIZ PT

Provider Business Mailing Address
First Line	:	PO BOX 451715
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78045-0042
Country	:	US
Telephone Number	:	956-722-3377
Fax Number	:

Provider Business Practice Location Address
First Line	:	6999 MCPHERSON RD STE 212
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78041-6450
Country	:	US
Telephone Number	:	956-722-3377
Fax Number	:

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

Provider Enumeration Date	:	04/17/2014
Last Update Date	:	03/21/2023

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Directions to “ MRS. NIMIA RUIZ PT” Practice Location

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