Healthcare Provider Details

I. General information

NPI: 1487828562
Provider Name (Legal Business Name): CARIDAD CARMEN RUIZ GONZALEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2008
Last Update Date: 04/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 SUNSET DR STE.#402
SOUTH MIAMI FL
33143-4828
US

IV. Provider business mailing address

6200 SUNSET DR STE.#402
SOUTH MIAMI FL
33143-4828
US

V. Phone/Fax

Practice location:
  • Phone: 305-665-8730
  • Fax: 305-665-8736
Mailing address:
  • Phone: 305-665-8730
  • Fax: 305-665-8736

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: