Provider Demographics
NPI:1891378618
Name:RUIZ, ROBERTO URIAS (AA ADDICTION STUDIES)
Entity Type:Individual
Prefix:MR
First Name:ROBERTO
Middle Name:URIAS
Last Name:RUIZ
Suffix:
Gender:M
Credentials:AA ADDICTION STUDIES
Other - Prefix:MR
Other - First Name:ROBERTO
Other - Middle Name:URIAS
Other - Last Name:RUIZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AA ADDICTION STUDIES
Mailing Address - Street 1:PO BOX 343
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93902-0343
Mailing Address - Country:US
Mailing Address - Phone:831-998-5027
Mailing Address - Fax:
Practice Address - Street 1:11 PEACH DR
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3710
Practice Address - Country:US
Practice Address - Phone:831-753-5140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)