Doctor Name: | ARMANDO ACOSTA RUIZ |
NPI Number: | 1013334333 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ARNP |
License Number: | 9276026 |
Business Practice Address: | 139 Ne 15th St Homestead, FL - 330304508 |
Business Phone Number: | 3052471213 |
Business Fax Number: | |
Mailing Address: | 15238 Sw 29th Ter, MIAMI |
State: | FL |
Postal Code: | 331855674 |
Phone Number: | 7869258094 |
Fax Number: | |
NPI Enumeration Date: | 03/25/2014 |
NPI Last Update Date: | 09/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 9276026 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |