Provider Demographics
NPI:1265270276
Name:RUIZ RODRIGUEZ, YUMEY
Entity type:Individual
Prefix:
First Name:YUMEY
Middle Name:
Last Name:RUIZ RODRIGUEZ
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 1:185 NW 13TH AVE APT 527
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-5732
Mailing Address - Country:US
Mailing Address - Phone:786-736-7646
Mailing Address - Fax:
Practice Address - Street 1:185 NW 13TH AVE APT 527
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-5732
Practice Address - Country:US
Practice Address - Phone:786-736-7646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide