| Doctor Name: | DR. ROBERTO JAVIER RUIZ |
| NPI Number: | 1699753426 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | F4457 |
| Business Practice Address: | 1131 Se Military Dr Ste. 117 San Antonio, TX - 782142801 |
| Business Phone Number: | 2109248146 |
| Business Fax Number: | 2106759508 |
| Mailing Address: | 1131 Se Military Dr, Ste. 117 SAN ANTONIO |
| State: | TX |
| Postal Code: | 782142801 |
| Phone Number: | 2109248146 |
| Fax Number: | 2106759508 |
| NPI Enumeration Date: | 01/03/2006 |
| NPI Last Update Date: | 03/15/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | F4457 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |