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NPI Code Detail

MEDICARE: HUGO RUIZ DDS

MEDICARE:   HUGO  RUIZ  DDS
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
11223G0001XGeneral Practice DentistryDN12639FL

General Provider Information

NPI Number : 1942360573
Entity Type Code : Individual
Provider Name (Legal Business Name) : HUGO RUIZ DDS
Provider Business Mailing Address
First Line : 4812 N HABANA AVE
Second Line :
City : TAMPA
State : FL
Zip : 33614-6871
Country : US
Telephone Number : 813-873-0271
Fax Number : 813-873-2929
Provider Business Practice Location Address
First Line : 4812 N HABANA AVE
Second Line :
City : TAMPA
State : FL
Zip : 33614-6871
Country : US
Telephone Number : 813-873-0271
Fax Number : 813-873-2929
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2006
Last Update Date : 07/09/2007

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Directions to “ HUGO RUIZ DDS” Practice Location

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