Healthcare Provider Details

I. General information

NPI: 1720906829
Provider Name (Legal Business Name): MARIA LIBIA RUIZ SOTO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E US HIGHWAY 34 APT 1002
GRAND ISLAND NE
68801-9709
US

IV. Provider business mailing address

200 E US HIGHWAY 34 APT 1002
GRAND ISLAND NE
68801-9709
US

V. Phone/Fax

Practice location:
  • Phone: 475-266-0012
  • Fax:
Mailing address:
  • Phone: 475-266-0012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: