Provider Demographics
NPI:1922553932
Name:RUPTIER, FLORESTELLA OLIVAREZ RUIZ (DDS)
Entity Type:Individual
Prefix:
First Name:FLORESTELLA
Middle Name:OLIVAREZ RUIZ
Last Name:RUPTIER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1106 STEUBING OAKS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4221
Mailing Address - Country:US
Mailing Address - Phone:210-441-9056
Mailing Address - Fax:
Practice Address - Street 1:1106 STEUBING OAKS
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4221
Practice Address - Country:US
Practice Address - Phone:210-441-9056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-19
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32242122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist