Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | ME92270 | FL |
Y | 204E00000X | Oral & Maxillofacial Surgeon | ME92270 | FL |
NPI | 1114987831 |
---|---|
Provider Name | Dr. Ramon L Ruiz |
First Address | Orlando, FL 32806-1014 |
Second Address | Orlando, FL 32806-1014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2006 |
Last Update Date | 01/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
280988500 | (05) | FL |
H83756 | (02) | FL |