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General NPI Number Information
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NPI Number | 1639961824
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Entity Type | Organization
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Legal Business Name | RUIZ HEALTH MEDICAL CENTER LLC
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 13944 SW 8TH ST STE 216
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City | MIAMI
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State | FL
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Zip | 33184-3008
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Country | US
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Telephone | 786-714-2145
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Fax | 786-513-3252
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Provider Business Mailing Address
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Address Line | 13944 SW 8TH ST STE 216
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City | MIAMI
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State | FL
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Zip | 33184-3008
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Country | US
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Telephone | 786-714-2145
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Fax | 786-513-3252
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Authorized Official
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Title or Position | OWNER DIRECTOR
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Name | MR. JUAN CARLOS RUIZ BERGON
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Credential | ARNP
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Telephone | 786-250-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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