Healthcare Provider Details

I. General information

NPI: 1023961703
Provider Name (Legal Business Name): MARIA MAGDALENA MARIN RUIZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2026
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1386 ZENOBIA ST
DENVER CO
80204-1038
US

IV. Provider business mailing address

1386 ZENOBIA ST
DENVER CO
80204-1038
US

V. Phone/Fax

Practice location:
  • Phone: 253-393-1562
  • Fax: 253-393-1562
Mailing address:
  • Phone: 253-393-1562
  • Fax: 253-393-1562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: