Provider Demographics
NPI:1336569136
Name:RUIZ, IGNACIO (CH)
Entity Type:Individual
Prefix:
First Name:IGNACIO
Middle Name:
Last Name:RUIZ
Suffix:
Gender:M
Credentials:CH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5906 ARGERIAN DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33545-4222
Mailing Address - Country:US
Mailing Address - Phone:813-377-9214
Mailing Address - Fax:813-365-3074
Practice Address - Street 1:5906 ARGERIAN DR
Practice Address - Street 2:SUITE 102
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33545-4222
Practice Address - Country:US
Practice Address - Phone:813-377-9214
Practice Address - Fax:813-365-3074
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-18
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor