Doctor Name: | MR. JEHU RUELO RUELES |
NPI Number: | 1659654887 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 070018757 |
Business Practice Address: | 925 S Semoran Blvd Ste 108 Winter Park, FL - 327925313 |
Business Phone Number: | 8774302772 |
Business Fax Number: | |
Mailing Address: | 6020 W Sample Rd, Unit 101 CORAL SPRINGS |
State: | FL |
Postal Code: | 330673261 |
Phone Number: | 9347526188 |
Fax Number: | |
NPI Enumeration Date: | 09/23/2011 |
NPI Last Update Date: | 09/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 070018757 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |