Provider Demographics
NPI:1851906333
Name:RUIZ TIRADO, MARIA MILAGROS
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:MILAGROS
Last Name:RUIZ TIRADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1559 HIMROD AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44506-1643
Mailing Address - Country:US
Mailing Address - Phone:330-623-0386
Mailing Address - Fax:
Practice Address - Street 1:1559 HIMROD AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44506-1643
Practice Address - Country:US
Practice Address - Phone:330-623-0386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-11
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty