Provider Demographics
NPI:1417905274
Name:RUFFIER, JOSE MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:MARIA
Last Name:RUFFIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11365 MONTWOOD DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-3854
Mailing Address - Country:US
Mailing Address - Phone:915-856-8633
Mailing Address - Fax:915-849-0245
Practice Address - Street 1:11365 MONTWOOD DR
Practice Address - Street 2:SUITE B
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-3854
Practice Address - Country:US
Practice Address - Phone:915-856-8633
Practice Address - Fax:915-849-0245
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH-0104207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC21407Medicare UPIN
TX00QI53Medicare PIN