Provider Demographics
NPI:1376942953
Name:RUIZ AGUILAR, JAVIER EMMANUEL
Entity Type:Individual
Prefix:DR
First Name:JAVIER
Middle Name:EMMANUEL
Last Name:RUIZ AGUILAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 ABRAHAM FLEXNER WAY SUITE 850 CHRISTINE M. KLEINERT
Mailing Address - Street 2:INSTITUTE FOR HAND AND MICROSURGERY INC
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1894
Mailing Address - Country:US
Mailing Address - Phone:502-562-0310
Mailing Address - Fax:502-562-0326
Practice Address - Street 1:225 ABRAHAM FLEXNER WAY SUITE 850
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-0894
Practice Address - Country:US
Practice Address - Phone:502-562-0310
Practice Address - Fax:502-562-0326
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYFT529390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program