Healthcare Provider Details

I. General information

NPI: 1669435491
Provider Name (Legal Business Name): MARIA CECILIA M RUERAS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 04/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9508 STOCKDALE HWY SUITE 150
BAKERSFIELD CA
93311
US

IV. Provider business mailing address

9508 STOCKDALE HWY SUITE 150
BAKERSFIELD CA
93311
US

V. Phone/Fax

Practice location:
  • Phone: 661-663-7500
  • Fax: 661-663-3063
Mailing address:
  • Phone: 661-663-7500
  • Fax: 661-663-3063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA56514
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: