MEDICARE: ELIZABETH RUIZ MSN, APRN, FNP-BC

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	363LF0000X	Family Nurse Practitioner	1010567	TX

General Provider Information

NPI Number	:	1619584711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH RUIZ MSN, APRN, FNP-BC

Provider Business Mailing Address
First Line	:	7447 VERA LN
Second Line	:
City	:	MERCEDES
State	:	TX
Zip	:	78570-4349
Country	:	US
Telephone Number	:	956-975-1334
Fax Number	:

Provider Business Practice Location Address
First Line	:	3601 S BUSINESS HIGHWAY 281
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-0287
Country	:	US
Telephone Number	:	956-296-0552
Fax Number	:

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

Provider Enumeration Date	:	09/23/2020
Last Update Date	:	04/15/2025

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