Provider Demographics
NPI:1073220489
Name:MERCEDES RUIZ, FRANY (MA NAVAGATOR)
Entity Type:Individual
Prefix:
First Name:FRANY
Middle Name:
Last Name:MERCEDES RUIZ
Suffix:
Gender:F
Credentials:MA NAVAGATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 NUTTMAN ST APT 2
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-3543
Mailing Address - Country:US
Mailing Address - Phone:737-328-1079
Mailing Address - Fax:973-732-8107
Practice Address - Street 1:10 NUTTMAN ST APT 2
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-3543
Practice Address - Country:US
Practice Address - Phone:737-328-1079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-04
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)