Provider Demographics
NPI:1497789325
Name:RUIZ, LUZ J (MD)
Entity Type:Individual
Prefix:DR
First Name:LUZ
Middle Name:J
Last Name:RUIZ
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Gender:F
Credentials:MD
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Mailing Address - Street 1:18 SINCLAIR RD
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-3992
Mailing Address - Country:US
Mailing Address - Phone:978-772-3880
Mailing Address - Fax:978-772-9589
Practice Address - Street 1:325 AYER RD
Practice Address - Street 2:SUITE B-120
Practice Address - City:HARVARD
Practice Address - State:MA
Practice Address - Zip Code:01451-1132
Practice Address - Country:US
Practice Address - Phone:978-772-3880
Practice Address - Fax:978-784-9589
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2011-09-07
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Provider Licenses
StateLicense IDTaxonomies
MA2136272084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MANX2542Medicare PIN
MAA3508503Medicare PIN