Provider Demographics
NPI:1720689615
Name:DELPILAR-RUIZ, LUZ MARIA
Entity Type:Individual
Prefix:MRS
First Name:LUZ
Middle Name:MARIA
Last Name:DELPILAR-RUIZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 ASHWOOD ST
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:AR
Mailing Address - Zip Code:72745-5020
Mailing Address - Country:US
Mailing Address - Phone:479-409-7672
Mailing Address - Fax:
Practice Address - Street 1:517 ASHWOOD ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:AR
Practice Address - Zip Code:72745-5020
Practice Address - Country:US
Practice Address - Phone:479-409-7672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-05
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician