Provider Demographics
NPI:1932514296
Name:RUIZ, SAILI (DMD)
Entity Type:Individual
Prefix:DR
First Name:SAILI
Middle Name:
Last Name:RUIZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 E 3RD ST
Mailing Address - Street 2:UNIT 4
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-6214
Mailing Address - Country:US
Mailing Address - Phone:786-762-5894
Mailing Address - Fax:
Practice Address - Street 1:8221 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2027
Practice Address - Country:US
Practice Address - Phone:305-266-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-25
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN20706122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist