Provider Demographics
NPI:1861687980
Name:RUIZ, MONICA P
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:P
Last Name:RUIZ
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 1:209 W NEVADA AVE
Mailing Address - Street 2:APT 7
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-3983
Mailing Address - Country:US
Mailing Address - Phone:915-355-1145
Mailing Address - Fax:
Practice Address - Street 1:209 W NEVADA AVE
Practice Address - Street 2:APT 7
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3983
Practice Address - Country:US
Practice Address - Phone:915-355-1145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker