Provider Demographics
NPI:1508933243
Name:RUIZ, JOSE F (LIC AC)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:F
Last Name:RUIZ
Suffix:
Gender:M
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 PRINCETON RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-2325
Mailing Address - Country:US
Mailing Address - Phone:781-944-5443
Mailing Address - Fax:
Practice Address - Street 1:591 NORTH AVE., DOOR 1
Practice Address - Street 2:FAMILY ACUPUNCTURE AND HERBS OF READING LLC
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880
Practice Address - Country:US
Practice Address - Phone:781-944-5443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA226526171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist