Healthcare Provider Details

I. General information

NPI: 1497809024
Provider Name (Legal Business Name): MARIA M RUIZ-ACEVEDO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 08/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20338 NW 2ND AVE
MIAMI FL
33169-2503
US

IV. Provider business mailing address

PO BOX 278888
MIRAMAR FL
33027-8888
US

V. Phone/Fax

Practice location:
  • Phone: 305-770-1937
  • Fax: 305-770-1468
Mailing address:
  • Phone: 305-245-3534
  • Fax: 305-245-3563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME97464
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: