Ruiz, Carlos

Ruiz, Carlos is an individual health care provider with primary practice located at 5305 Mcnutt Rd , Santa Teresa NM 88008-9685. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Ruiz, Carlos can be contacted via phone (575) 882-5100.

Contact Information

Primary practice address
5305 Mcnutt Rd Santa Teresa NM 88008-9685
Phone: (575) 882-5100
Fax: (575) 882-1151
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1033784228
LBN Legal business name Ruiz, Carlos
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2021
Last updated May 21st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033784228 NPPES
New Mexico MEDICAID 35650338

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