Healthcare Provider Details

I. General information

NPI: 1649726118
Provider Name (Legal Business Name): YOE RUZ B.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2016
Last Update Date: 08/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7575 W FLAGLER ST SUITE 200
MIAMI FL
33144-2470
US

IV. Provider business mailing address

7575 W FLAGLER ST SUITE 200
MIAMI FL
33144-2470
US

V. Phone/Fax

Practice location:
  • Phone: 305-377-3297
  • Fax:
Mailing address:
  • Phone: 305-377-3297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: