Healthcare Provider Details

I. General information

NPI: 1811947260
Provider Name (Legal Business Name): MARIA ELENA RUIZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 05/24/2022
Certification Date: 05/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 PENNSYLVANIA AVE NW
WASHINGTON DC
20037-3201
US

IV. Provider business mailing address

110 IRVING ST NW #2A38
WASHINGTON DC
20010-2976
US

V. Phone/Fax

Practice location:
  • Phone: 202-741-2234
  • Fax: 202-741-2241
Mailing address:
  • Phone: 202-877-2848
  • Fax: 202-877-6292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberMD31414
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: