Doctor Name: | ERNIE RUIZ |
NPI Number: | 1164814356 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 20150001080 |
Business Practice Address: | 11601 Pellicano Dr C-13 El Paso, TX - 799366279 |
Business Phone Number: | 9158205372 |
Business Fax Number: | |
Mailing Address: | 11601 Pellicano Dr, C-13 EL PASO |
State: | TX |
Postal Code: | 799366279 |
Phone Number: | 9158205372 |
Fax Number: | |
NPI Enumeration Date: | 02/24/2015 |
NPI Last Update Date: | 02/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 20150001080 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |