Provider Demographics
NPI:1669435491
Name:RUERAS, MARIA CECILIA M (MD)
Entity type:Individual
Prefix:MRS
First Name:MARIA CECILIA
Middle Name:M
Last Name:RUERAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:9508 STOCKDALE HWY
Mailing Address - Street 2:SUITE 150
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311
Mailing Address - Country:US
Mailing Address - Phone:661-663-7500
Mailing Address - Fax:661-663-3063
Practice Address - Street 1:9508 STOCKDALE HWY
Practice Address - Street 2:SUITE 150
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311
Practice Address - Country:US
Practice Address - Phone:661-663-7500
Practice Address - Fax:661-663-3063
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA56514208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A565140Medicaid