Ruiz Diaz, Miguel A
Ruiz Diaz, Miguel A is an individual health care provider with primary practice located at 4730 Chicago Ave # Ms 26602G , Minneapolis MN 55407-3570. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Ruiz Diaz, Miguel A can be contacted via phone (952) 883-6805.Contact Information
Primary practice address
4730 Chicago Ave # Ms 26602G
Minneapolis MN 55407-3570
Phone: (952) 883-6805
Fax: (952) 853-8864
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 38315 | Minnesota |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 38315 | Minnesota |
Profile Details
| NPI number | 1659342012 |
|---|---|
| LBN Legal business name | Ruiz Diaz, Miguel A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Dec 30th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659342012 | NPPES |
| Minnesota | MEDICAID | 517014100 |
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