Provider Demographics
NPI:1861650988
Name:RUIZ, XIMENA DEL PILAR (MD)
Entity Type:Individual
Prefix:
First Name:XIMENA
Middle Name:DEL PILAR
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 1:301 BROWN SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-7005
Mailing Address - Country:US
Mailing Address - Phone:334-747-4159
Mailing Address - Fax:
Practice Address - Street 1:2119 E SOUTH BLVD STE 100
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-2496
Practice Address - Country:US
Practice Address - Phone:334-613-7070
Practice Address - Fax:334-613-7072
Is Sole Proprietor?:No
Enumeration Date:2008-05-27
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0010675207RR0500X
ALMD35296207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL511-99021OtherBCBS OF ALABAMA
Z52053OtherVIVA HEALTH
AL102I2668264OtherMEDICARE
AL204564Medicaid