Healthcare Provider Details

I. General information

NPI: 1013334333
Provider Name (Legal Business Name): ARMANDO ACOSTA RUIZ ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2014
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10453 SW 40TH ST
MIAMI FL
33165-3753
US

IV. Provider business mailing address

10453 SW 40TH ST
MIAMI FL
33165-3753
US

V. Phone/Fax

Practice location:
  • Phone: 786-580-5182
  • Fax: 806-278-2124
Mailing address:
  • Phone: 786-925-8094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9276026
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: