Healthcare Provider Details

I. General information

NPI: 1639961824
Provider Name (Legal Business Name): RUIZ HEALTH MEDICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13944 SW 8TH ST STE 216
MIAMI FL
33184-3008
US

IV. Provider business mailing address

13944 SW 8TH ST STE 216
MIAMI FL
33184-3008
US

V. Phone/Fax

Practice location:
  • Phone: 786-714-2145
  • Fax: 786-513-3252
Mailing address:
  • Phone: 786-714-2145
  • Fax: 786-513-3252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JUAN CARLOS RUIZ BERGON
Title or Position: OWNER DIRECTOR
Credential: ARNP
Phone: 786-250-7400