Healthcare Provider Details

I. General information

NPI: 1689294936
Provider Name (Legal Business Name): ANGELICA ESTELLA ALMADER-RUIZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2020
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 E GRANT RD
TUCSON AZ
85712-2805
US

IV. Provider business mailing address

5400 S PIN OAK DR
TUCSON AZ
85746-8110
US

V. Phone/Fax

Practice location:
  • Phone: 520-327-5461
  • Fax:
Mailing address:
  • Phone: 520-609-9559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number81295
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: