Provider Demographics
NPI:1326171307
Name:RUIZ-PEREZ, JAIME (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:JAIME
Middle Name:
Last Name:RUIZ-PEREZ
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:JAIME
Other - Middle Name:
Other - Last Name:RUIZ PEREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:3303 W ALBERTA RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-9658
Mailing Address - Country:US
Mailing Address - Phone:956-400-7662
Mailing Address - Fax:956-580-7925
Practice Address - Street 1:3303 W ALBERTA RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-9658
Practice Address - Country:US
Practice Address - Phone:956-400-7662
Practice Address - Fax:956-580-7925
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN8716207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8FL396OtherBCBS
TXP01566315OtherRAILROAD MEDICARE
TX258432ZRP1OtherMEDICARE
TX281190305Medicaid
TX281190306OtherCHSCN MEDICAID