MEDICARE: ANTONIA E RUAIX MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	ME49864	FL

General Provider Information

NPI Number	:	1124389705
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANTONIA E RUAIX MD PA

Provider Business Mailing Address
First Line	:	6498 CORAL WAY
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-1949
Country	:	US
Telephone Number	:	305-200-1848
Fax Number	:

Provider Business Practice Location Address
First Line	:	6498 CORAL WAY
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-1949
Country	:	US
Telephone Number	:	305-200-1848
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ANTONIA E. RUAIX
Credential	:	M.D.
Telephone Number	:	305-642-0332

Provider Enumeration Date	:	05/31/2012
Last Update Date	:	07/18/2012

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