Provider Demographics
NPI:1235144932
Name:RUIZ-NOVERO, RHENA MARIALIZA (MD)
Entity Type:Individual
Prefix:DR
First Name:RHENA
Middle Name:MARIALIZA
Last Name:RUIZ-NOVERO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:RHENA
Other - Middle Name:MARIALIZA
Other - Last Name:RUIZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2675 WINKLER AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901-9342
Mailing Address - Country:US
Mailing Address - Phone:877-856-3774
Mailing Address - Fax:
Practice Address - Street 1:90 CYPRESS WAY E STE 10
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-9275
Practice Address - Country:US
Practice Address - Phone:239-302-3295
Practice Address - Fax:239-302-3296
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-30
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI48432-020207Q00000X
FLME101279207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine