Healthcare Provider Details

I. General information

NPI: 1477439784
Provider Name (Legal Business Name): FERMINA CARIDAD RUIZ HERNANDEZ RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1528 FELLS COVE LN
CAPE CORAL FL
33909-8879
US

IV. Provider business mailing address

1528 FELLS COVE LN
CAPE CORAL FL
33909-8879
US

V. Phone/Fax

Practice location:
  • Phone: 239-789-1721
  • Fax:
Mailing address:
  • Phone: 561-426-1477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: