Provider Demographics
NPI:1861379968
Name:RUIZ, IGIEREN CALVARIO (RN)
Entity type:Individual
Prefix:
First Name:IGIEREN
Middle Name:CALVARIO
Last Name:RUIZ
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 OLD ERIE PL
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89011-5643
Mailing Address - Country:US
Mailing Address - Phone:562-922-2489
Mailing Address - Fax:
Practice Address - Street 1:360 OLD ERIE PL
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89011-5643
Practice Address - Country:US
Practice Address - Phone:562-922-2489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV851479163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health