Provider Demographics
NPI:1639961824
Name:RUIZ HEALTH MEDICAL CENTER LLC
Entity type:Organization
Organization Name:RUIZ HEALTH MEDICAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:CARLOS
Authorized Official - Last Name:RUIZ BERGON
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:786-250-7400
Mailing Address - Street 1:13944 SW 8TH ST # 216A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-3006
Mailing Address - Country:US
Mailing Address - Phone:786-714-2145
Mailing Address - Fax:786-513-3252
Practice Address - Street 1:13944 SW 8TH ST # 216A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-3006
Practice Address - Country:US
Practice Address - Phone:786-714-2145
Practice Address - Fax:786-513-3252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty