Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | ME0047396 | FL |
NPI | 1164476727 |
---|---|
Provider Name | Dr. Ernesto J Ruas |
First Address | Tampa, FL 33629-5951 |
Second Address | Tampa, FL 33606-2629 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03919 | BCBS (01) | FL |
100797 | AVMED (01) | FL |
17809 | STAYWELL (01) | FL |
232013 | AMERIGROUP (01) | FL |
4014451002 | CIGNA (01) | FL |
624558 | AETNA (01) | FL |
D50874 | (02) | FL |