Ruiz, Ruddy E
Ruiz, Ruddy E is an individual health care provider with primary practice located at 1900 Dairy Rd , Melbourne FL 32904-4046. 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, Ruddy E can be contacted via phone (321) 952-0494.Contact Information
Primary practice address
1900 Dairy Rd
Melbourne FL 32904-4046
Phone: (321) 952-0494
Fax: (321) 952-0479
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME68400 | Florida |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | ME68400 | Florida |
Profile Details
| NPI number | 1093799041 |
|---|---|
| LBN Legal business name | Ruiz, Ruddy E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Apr 4th, 2013 - about 13 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 | 1093799041 | NPPES |
| Florida | MEDICAID | 379019300 | |
| Florida | Other | 110112878 |
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