Provider Demographics
NPI:1922885615
Name:RUIZ, KARLA DENNYS
Entity Type:Individual
Prefix:MS
First Name:KARLA
Middle Name:DENNYS
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 1:3088 W SANTOLINAS ST
Mailing Address - Street 2:
Mailing Address - City:RIALTO
Mailing Address - State:CA
Mailing Address - Zip Code:92376-7211
Mailing Address - Country:US
Mailing Address - Phone:951-232-7095
Mailing Address - Fax:
Practice Address - Street 1:3088 W SANTOLINAS ST
Practice Address - Street 2:
Practice Address - City:RIALTO
Practice Address - State:CA
Practice Address - Zip Code:92376-7211
Practice Address - Country:US
Practice Address - Phone:951-232-7095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker