Healthcare Provider Details

I. General information

NPI: 1760471916
Provider Name (Legal Business Name): FRANCISCO J RUIZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2005
Last Update Date: 04/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3659 S MIAMI AVE SUITE 5008
MIAMI FL
33133-4227
US

IV. Provider business mailing address

3659 S MIAMI AVE SUITE 5008
MIAMI FL
33133-4227
US

V. Phone/Fax

Practice location:
  • Phone: 305-285-9432
  • Fax: 305-285-9004
Mailing address:
  • Phone: 305-285-9432
  • Fax: 305-285-9004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberME0048064
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: