Ruddy E Ruiz
Internist Hospice and Palliative Medicine
1900 Dairy Rd
Melbourne
, Florida 32904-4046
Ruddy E Ruiz
Internist Hospice and Palliative Medicine
1900 Dairy Rd
Melbourne
, Florida 32904-4046
(321) 952-0479
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About
Features
Specialties
- Internist
- Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Ruddy E Ruiz
- 1900 Dairy Rd
- Melbourne, FL
- Zip : 32904-4046
- Fax : (321) 952-0479
- Phone : (321) 952-0494
Second Address
- Ruddy E Ruiz
- 1900 Dairy Rd
- Melbourne, FL
- Zip : 32904-4046
- Fax : (321) 952-0479
- Phone : (321) 952-0494
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | ME68400 | FL |
| N | 111NI0900X | Internist | ME68400 | FL |
| Y | 207RH0002X | Hospice and Palliative Medicine | ME68400 | FL |
National Provider Identifier
| NPI | 1093799041 |
|---|---|
| Provider Name | Ruddy E Ruiz |
| First Address | Melbourne, FL 32904-4046 |
| Second Address | Melbourne, FL 32904-4046 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/12/2005 |
| Last Update Date | 04/04/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 110112878 | RR MEDICARE (01) | FL |
| 379019300 | (05) | FL |
| F58851 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.