Provider Demographics
NPI:1629208905
Name:RUIZ, SONIA MARGARITA (MD)
Entity Type:Individual
Prefix:DR
First Name:SONIA
Middle Name:MARGARITA
Last Name:RUIZ
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 1:4316 BELL SHOALS RD
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33596-7171
Mailing Address - Country:US
Mailing Address - Phone:813-684-1881
Mailing Address - Fax:813-685-0471
Practice Address - Street 1:4316 BELL SHOALS RD
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33596-7171
Practice Address - Country:US
Practice Address - Phone:813-684-1881
Practice Address - Fax:813-685-0471
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-21
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME45712208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics