Provider Demographics
NPI:1497809024
Name:RUIZ-ACEVEDO, MARIA M (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:M
Last Name:RUIZ-ACEVEDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 278888
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-8888
Mailing Address - Country:US
Mailing Address - Phone:305-245-3534
Mailing Address - Fax:305-245-3563
Practice Address - Street 1:20338 NW 2ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-2503
Practice Address - Country:US
Practice Address - Phone:305-770-1937
Practice Address - Fax:305-770-1468
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME97464208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics