Healthcare Provider Details

I. General information

NPI: 1578504759
Provider Name (Legal Business Name): DANIEL E RUIZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1040 DELAWARE AVENEUE
MARION OH
43301-1814
US

IV. Provider business mailing address

PO BOX 1814
MARION OH
43301-1814
US

V. Phone/Fax

Practice location:
  • Phone: 740-383-7000
  • Fax: 740-383-7942
Mailing address:
  • Phone: 740-383-7003
  • Fax: 740-383-7942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35100131R
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number35100131R
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: