Provider Demographics
NPI:1639214497
Name:RUIZ, ELOY
Entity Type:Individual
Prefix:MR
First Name:ELOY
Middle Name:
Last Name:RUIZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 W GRANT AVE
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-6767
Mailing Address - Country:US
Mailing Address - Phone:956-421-3231
Mailing Address - Fax:956-421-3231
Practice Address - Street 1:718 W GRANT AVE
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-6767
Practice Address - Country:US
Practice Address - Phone:956-421-3231
Practice Address - Fax:956-421-3231
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health