Provider Demographics
NPI:1013204650
Name:RUANO MENDEZ, ANA LUCIA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANA
Middle Name:LUCIA
Last Name:RUANO MENDEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANA LUCIA
Other - Middle Name:LUCIA
Other - Last Name:RUANO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:12463 CEDAR RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-3221
Mailing Address - Country:US
Mailing Address - Phone:216-543-6959
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE # L25
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-444-6781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-04
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57019168207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology