Provider Demographics
NPI:1760629000
Name:PETER A RUIZ DC INC
Entity Type:Organization
Organization Name:PETER A RUIZ DC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:A
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:831-375-2225
Mailing Address - Street 1:991 CASS STREET
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4517
Mailing Address - Country:US
Mailing Address - Phone:831-375-2225
Mailing Address - Fax:831-375-3967
Practice Address - Street 1:991 CASS STREET
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4517
Practice Address - Country:US
Practice Address - Phone:831-375-2225
Practice Address - Fax:831-375-3967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-08
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty