Provider Demographics
NPI:1063475887
Name:SIBLESZ RUIZ, ALINA (MD)
Entity Type:Individual
Prefix:DR
First Name:ALINA
Middle Name:
Last Name:SIBLESZ RUIZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ALINA
Other - Middle Name:
Other - Last Name:RUIZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:11400 N KENDALL DR
Mailing Address - Street 2:SUITE A211
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1029
Mailing Address - Country:US
Mailing Address - Phone:305-274-2255
Mailing Address - Fax:305-274-2211
Practice Address - Street 1:11400 N KENDALL DR
Practice Address - Street 2:SUITE A211
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1029
Practice Address - Country:US
Practice Address - Phone:305-274-2255
Practice Address - Fax:305-274-2211
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 95269208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics