Provider Demographics
NPI:1841073921
Name:RUIZ, LIGIA GEMIMA (RN)
Entity type:Individual
Prefix:
First Name:LIGIA
Middle Name:GEMIMA
Last Name:RUIZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9606 PLATTWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11417-2126
Mailing Address - Country:US
Mailing Address - Phone:718-813-2562
Mailing Address - Fax:
Practice Address - Street 1:9606 PLATTWOOD AVE
Practice Address - Street 2:
Practice Address - City:OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11417-2126
Practice Address - Country:US
Practice Address - Phone:718-813-2562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY703809163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health