MR. SERGE RONALD RUIZ (NPI# 1952775199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952775199 |
| Entity Type | Individual |
| Full Name | MR. SERGE RONALD RUIZ |
| Credential | NP |
| Practice Address |
1272 Nw 119th St Miami FL 33167-3232 |
| Mailing Address |
8203 Windsor Dr Miramar FL 33025-2838 |
| Practice Telephone | 3056855688 |
| Mailing Telephone | 3055272475 |
| Enumeration Date | 2015-11-28 |
| Last Update Date | 2015-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP9311770 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
ARNP9311770 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
ARNP9311770 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1272 NW 119TH ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33167-3232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205825049 | Eduardo Chapunoff | Internal Medicine | 1272 Nw 119th St, Miami, FL 33167-3232 | 2005-10-14 |
| 1902357775 | Rogelio Efren Rodriguez | Nurse Practitioner | 1272 Nw 119th St, Miami, FL 33167-3232 | 2016-10-17 |
| 1245697218 | Valentin Junior Andre | General Practice | 1272 Nw 119th St, Miami, FL 33167-3232 | 2016-01-21 |
| 1023243094 | Arelis I Barrios | Nurse Practitioner | 1272 Nw 119th St, Miami, FL 33167-3232 | 2009-05-20 |
| 1366581118 | Rosana De Los Santos | Obstetrics & Gynecology | 1272 Nw 119th St, Miami, FL 33167-3232 | 2007-02-06 |
| 1881630382 | Luis Felipe Verdecia Sr. | General Practice | 1272 Nw 119th St, Miami, FL 33167-3232 | 2006-06-22 |
| 1942254107 | Alfredo Torralbas | Pediatrics | 1272 Nw 119th St, Miami, FL 33167-3232 | 2006-05-20 |
| 1215981618 | Doctor's Medical Center, Inc. | Family Medicine | 1272 Nw 119th St, Miami, FL 33167-3232 | 2006-05-20 |
| 1053365692 | Raul A Alvarez | Internal Medicine | 1272 Nw 119th St, Miami, FL 33167 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487183711 | Yusleydi Almaguer | Behavioral Analyst | 1205 Nw 116 Terr, Miami, FL 33167 | 2017-06-09 |
| 1952833477 | Lakeashi Lewis | Custodial Care Facility | 11910 N.w 19 Ave. #a, Miami, FL. 33167 | 2017-04-03 |
| 1326499617 | Roilan Hernandez | Behavior Technician | 12525 Nw 18th Ct, Miami, FL 33167 | 2016-06-28 |
| 1083064497 | Sierra Watkins | Behavioral Analyst | 15710 Nw 37th Place, Miami, FL 33167 | 2016-06-16 |
| 1790022093 | Adryanas Tech Codding One Corp | Contractor | 1363 Nw118th St, Miami, FL 33167 | 2013-01-08 |
| 1366574220 | Jose M Jules | Respiratory Therapist, Certified | 14611 Nw 13rd, Miami, FL 33167 | 2007-03-09 |
| 1881614212 | Synergy Pharmacy & Medical Supplies | Durable Medical Equipment & Medical Supplies | 1543 Nw 119 St, Miami, FL 33167 | 2006-07-20 |
| 1255362877 | Phanord & Associates Pa | Dentist | 1245 Nw 119 St, Miami, FL 33167 | 2006-07-05 |
| 1194761213 | Mary Cecilia Crosby | Dentist | 1245 Nw 119th Street, North Miami, FL 33167 | 2006-06-20 |
| 1669998605 | Whitney Victoria Drayton | Pharmacist | 6200 Nw 7th Ave, Miami, FL 33167 | 2017-08-22 |
| Find all providers in zip 33167 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669099701 | Neyma Reyes | Nurse Practitioner | 14701 Sw 155th Pl, Miami, FL 33196-2892 | 2020-07-04 |
| 1134755044 | Pro Healthcare Services Inc | Nurse Practitioner | 4630 Sw 99th Ave, Miami, FL 33165-5761 | 2020-03-23 |
| 1760027296 | Japonesa Maria Read | Nurse Practitioner | 9713 Sw 134th Pl, Miami, FL 33186-2258 | 2019-11-07 |
| 1336780857 | Debbie Anne Raymond | Nurse Practitioner | 12953 Sw 132nd Ter, Miami, FL 33186-7222 | 2019-10-06 |
| 1952959678 | Madelein Escarpio | Nurse Practitioner | 2820 Sw 101st Ct, Miami, FL 33165-2931 | 2019-08-27 |
| 1124583695 | Meliza Mercedes Perea | Nurse Practitioner | 3850 Sw 87th Ave Ste 205, Miami, FL 33165 | 2019-02-08 |
| 1598236739 | Aera Jeong | Nurse Practitioner | 10110 Sw 85th St, Miami, FL 33173-3919 | 2018-12-16 |
| 1821573445 | Pierre Antonio Gonzalez | Nurse Practitioner | 13350 N Miami Ave, Miami, FL 33168-4715 | 2018-09-28 |
| 1538644620 | Bianca M Capella | Nurse Practitioner | 15321 Sw 108th Ter, Miami, FL 33196-3591 | 2018-09-25 |
| 1790269587 | Karina E Garcia | Nurse Practitioner | 3166 Sw 16 Terrace, Miami, FL 33145-1814 | 2018-09-18 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.