MEDICARE: LILIANA RUIZ-LEON D.O.

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	207V00000X	Obstetrics & Gynecology Physician	1263	NV

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

General Provider Information

NPI Number	:	1700995446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILIANA RUIZ-LEON D.O.

Provider Business Mailing Address
First Line	:	2159 STAGE STOP DR
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-5824
Country	:	US
Telephone Number	:	702-588-3613
Fax Number	:

Provider Business Practice Location Address
First Line	:	2020 WELLNESS WAY STE 206
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-4145
Country	:	US
Telephone Number	:	702-893-8968
Fax Number	:	702-458-2478

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

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	02/02/2024

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Directions to “ LILIANA RUIZ-LEON D.O.” Practice Location

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