Provider Demographics
NPI:1417841735
Name:RUIZ VILLALOBOS, PATRICIA
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:
Last Name:RUIZ VILLALOBOS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:RUIZ VILLALOBOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:540 EXECUTIVE CENTER DR APT 206
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-8636
Mailing Address - Country:US
Mailing Address - Phone:561-660-3976
Mailing Address - Fax:
Practice Address - Street 1:540 EXECUTIVE CENTER DR APT 206
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-8636
Practice Address - Country:US
Practice Address - Phone:561-660-3976
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician