Provider Demographics
NPI:1982095790
Name:RUIZ, MARITZA CALDERON (NP-C)
Entity Type:Individual
Prefix:
First Name:MARITZA
Middle Name:CALDERON
Last Name:RUIZ
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13726 VIEW MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77034-2156
Mailing Address - Country:US
Mailing Address - Phone:713-373-1781
Mailing Address - Fax:
Practice Address - Street 1:1635 NORTH LOOP
Practice Address - Street 2:MEMORIAL HERMANN NORTHWEST
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008
Practice Address - Country:US
Practice Address - Phone:713-867-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-16
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP127733363LF0000X
TXF0215294163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency