Healthcare Provider Details

I. General information

NPI: 1912466103
Provider Name (Legal Business Name): SARAH RUIZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2019
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10528 SW 8TH ST
MIAMI FL
33174-2602
US

IV. Provider business mailing address

3601 FEDERAL HWY
MIAMI FL
33137-3795
US

V. Phone/Fax

Practice location:
  • Phone: 305-576-6611
  • Fax:
Mailing address:
  • Phone: 786-476-1005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME154738
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: