Provider Demographics
NPI:1255724001
Name:RUIZ, CRISTINA (OT)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:RUIZ
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:CRISTINA
Other - Middle Name:
Other - Last Name:AYALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:6601 MONTANA AVE STE G&H
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-2155
Mailing Address - Country:US
Mailing Address - Phone:915-838-7604
Mailing Address - Fax:915-772-4633
Practice Address - Street 1:2150 TRAWOOD DR STE A270
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935-3341
Practice Address - Country:US
Practice Address - Phone:915-595-5959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-17
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116845225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist