Healthcare Provider Details

I. General information

NPI: 1609771682
Provider Name (Legal Business Name): ALMA ROSA RUIZ-COLMENARES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 ALHAMBRA AVE
MARTINEZ CA
94553-3156
US

IV. Provider business mailing address

1249 PROMENADE ST 1249 PROMENADE ST
HERCULES CA
94547-2714
US

V. Phone/Fax

Practice location:
  • Phone: 510-375-5104
  • Fax:
Mailing address:
  • Phone: 510-375-5104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: