Provider Demographics
NPI:1942063763
Name:RUIZ DE NUNEZ, PATRICIA DEL CARMEN (DMD)
Entity Type:Individual
Prefix:MR
First Name:PATRICIA
Middle Name:DEL CARMEN
Last Name:RUIZ DE NUNEZ
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 1:4 MAPLE CT APT 7
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02121-3009
Mailing Address - Country:US
Mailing Address - Phone:617-366-7038
Mailing Address - Fax:
Practice Address - Street 1:4 MAPLE CT APT 7
Practice Address - Street 2:
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02121-3009
Practice Address - Country:US
Practice Address - Phone:617-366-7038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program