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NPI Code Detail

MEDICARE: CAROLINE VERONICA RUIZ DO

MEDICARE: CAROLINE VERONICA RUIZ DO
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
1207Q00000XFamily Medicine PhysicianOT-025069PA

General Provider Information

NPI Number : 1164352365
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINE VERONICA RUIZ DO
Provider Business Mailing Address
First Line : 555 N DUKE ST
Second Line :
City : LANCASTER
State : PA
Zip : 17602-2250
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 555 N DUKE ST
Second Line :
City : LANCASTER
State : PA
Zip : 17602-2250
Country : US
Telephone Number : 717-544-4950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2026
Last Update Date : 05/20/2026

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Directions to “ CAROLINE VERONICA RUIZ DO” Practice Location

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