Healthcare Provider Details

I. General information

NPI: 1285804708
Provider Name (Legal Business Name): ELENA DEL REFUGIO RUIZ-RIOS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2008
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020 14TH ST NW
WASHINGTON DC
20009-6865
US

IV. Provider business mailing address

3020 14TH ST NW
WASHINGTON DC
20009-6865
US

V. Phone/Fax

Practice location:
  • Phone: 202-913-7889
  • Fax:
Mailing address:
  • Phone: 202-913-7889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD210011769
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: