Provider Demographics
NPI:1811330897
Name:RUIZ, MARIA PAULA (DO)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:PAULA
Last Name:RUIZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6400 W NEWBERRY RD STE 103
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-4384
Mailing Address - Country:US
Mailing Address - Phone:352-333-5946
Mailing Address - Fax:352-333-5947
Practice Address - Street 1:6400 W NEWBERRY RD STE 103
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-4384
Practice Address - Country:US
Practice Address - Phone:352-333-5946
Practice Address - Fax:352-333-5947
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-09
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS16460207VX0201X
390200000X
WI81739-21207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program