Provider Demographics
NPI:1093278814
Name:RUIZ HOLGADO, MARIA CELESTE (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:CELESTE
Last Name:RUIZ HOLGADO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 5TH AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-2201
Mailing Address - Country:US
Mailing Address - Phone:727-767-4160
Mailing Address - Fax:727-767-8270
Practice Address - Street 1:601 5TH ST S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4804
Practice Address - Country:US
Practice Address - Phone:727-767-4160
Practice Address - Fax:727-767-8270
Is Sole Proprietor?:No
Enumeration Date:2019-04-09
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME175484208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics