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General NPI Number Information
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NPI Number | 1952775199
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Entity Type | Individual
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Provider Name | SERGE RONALD RUIZ NP
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Gender | Male
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Dates
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Enumeration Date | 11/28/2015
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 5375 W 20TH AVE
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City | HIALEAH
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State | FL
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Zip | 33012-2101
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Country | US
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Telephone | 305-204-0333
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Fax | 305-359-7546
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Provider Business Mailing Address
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Address Line | 860 NW 42ND AVE FL 5
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City | MIAMI
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State | FL
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Zip | 33126-4172
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Country | US
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Telephone | 305-204-0333
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | ARNP9311770
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | ARNP9311770
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License Number State | FL
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