Provider Demographics
NPI:1649519133
Name:CIUCA, RUXANDRA I (MS)
Entity type:Individual
Prefix:MRS
First Name:RUXANDRA
Middle Name:I
Last Name:CIUCA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9399 BOCA GARDENS CIR S
Mailing Address - Street 2:#D
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-1702
Mailing Address - Country:US
Mailing Address - Phone:954-304-3108
Mailing Address - Fax:
Practice Address - Street 1:9399 BOCA GARDENS CIR S
Practice Address - Street 2:#D
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-1702
Practice Address - Country:US
Practice Address - Phone:954-304-3108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ5952235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist