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NPI Code Detail

MEDICARE: JORGE LUIS RUIZ RIVERA

MEDICARE: JORGE LUIS RUIZ RIVERA
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
1103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881176386
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORGE LUIS RUIZ RIVERA
Provider Business Mailing Address
First Line : 18160 SW 138TH CT
Second Line :
City : MIAMI
State : FL
Zip : 33177-6451
Country : US
Telephone Number : 213-531-1368
Fax Number :
Provider Business Practice Location Address
First Line : 11820 MIRAMAR PKWY STE 109
Second Line :
City : MIRAMAR
State : FL
Zip : 33025-5815
Country : US
Telephone Number : 213-531-1368
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2018
Last Update Date : 02/23/2024

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Directions to “ JORGE LUIS RUIZ RIVERA ” Practice Location

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