Healthcare Provider Details

I. General information

NPI: 1861650988
Provider Name (Legal Business Name): XIMENA DEL PILAR RUIZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2008
Last Update Date: 01/06/2023
Certification Date: 01/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2119 E SOUTH BLVD STE 100
MONTGOMERY AL
36116-2496
US

IV. Provider business mailing address

301 BROWN SPRINGS RD
MONTGOMERY AL
36117-7005
US

V. Phone/Fax

Practice location:
  • Phone: 334-613-7070
  • Fax: 334-613-7072
Mailing address:
  • Phone: 334-747-4159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberC1-0010675
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberMD35296
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: