Healthcare Provider Details

I. General information

NPI: 1851170567
Provider Name (Legal Business Name): CHRISTIE M RUIZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2023
Last Update Date: 09/22/2023
Certification Date: 09/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 KENDALL ST APT 3
CENTRAL FALLS RI
02863-2541
US

IV. Provider business mailing address

66 KENDALL ST APT 3
CENTRAL FALLS RI
02863-2541
US

V. Phone/Fax

Practice location:
  • Phone: 401-548-2325
  • Fax:
Mailing address:
  • Phone: 401-548-2325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: