Provider Demographics
NPI:1477616373
Name:RUIZ-MARTINEZ, ISABEL B (DDS)
Entity Type:Individual
Prefix:DR
First Name:ISABEL
Middle Name:B
Last Name:RUIZ-MARTINEZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ISABEL
Other - Middle Name:B
Other - Last Name:RUIZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:4849 VOLUNTEER RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHWEST RANCHES
Mailing Address - State:FL
Mailing Address - Zip Code:33330-2129
Mailing Address - Country:US
Mailing Address - Phone:954-252-0667
Mailing Address - Fax:
Practice Address - Street 1:4849 VOLUNTEER RD
Practice Address - Street 2:
Practice Address - City:SOUTHWEST RANCHES
Practice Address - State:FL
Practice Address - Zip Code:33330-2129
Practice Address - Country:US
Practice Address - Phone:954-252-0667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN115171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice