MEDICARE: ANTONIO R GONZALEZ-RUIZ M.D.

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	207VM0101X	Maternal & Fetal Medicine Physician	28887	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	344428256	OTHER	OH	EMERALD
3	344428256	OTHER	CA	BEECH STREET
4	OC02562	OTHER	OH	NATIONWIDE
5	124629	OTHER	OH	CARE CHOICES
6	344428256099	OTHER	OH	CARESOURCES
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	9180	OTHER	MI	HEALTH PLAN MI
9	01616	OTHER	OH	PARAMOUNT
10	4326824	OTHER	OH	AETNA
11	124629	OTHER	MI	PRIORITY HEALTH
12	19687	OTHER	MI	GREAT LAKES HEALTH CARE
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	344428256	OTHER	OH	FRONTPATH
15	C36324	OTHER	MI	HEALTH ALLICANCE PLAN
16	000000064957	OTHER	OH	ANTHEM COMMERICAL

General Provider Information

NPI Number	:	1326044231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTONIO R GONZALEZ-RUIZ M.D.

Provider Business Mailing Address
First Line	:	2006 BROOKWOOD MEDICAL CTR DR
Second Line	:	WOMEN'S MEDICAL PLAZA, SUITE 604
City	:	HOMEWOOD
State	:	AL
Zip	:	35209-6899
Country	:	US
Telephone Number	:	205-877-5113
Fax Number	:	205-877-5130

Provider Business Practice Location Address
First Line	:	2006 BROOKWOOD MEDICAL CTR DR
Second Line	:	WOMEN'S MEDICAL PLAZA, SUITE 604
City	:	HOMEWOOD
State	:	AL
Zip	:	35209-6899
Country	:	US
Telephone Number	:	205-877-5113
Fax Number	:	205-877-5130

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	12/10/2008

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Directions to “ ANTONIO R GONZALEZ-RUIZ M.D.” Practice Location

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