| Doctor Name: | DR. IVAN RODRIGO ZENDEJAS RUIZ |
| NPI Number: | 1760542054 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 10757 |
| Business Practice Address: | 1600 Sw Archer Rd Room 6142 Gainesville, FL - 326103003 |
| Business Phone Number: | 3522650606 |
| Business Fax Number: | 3522650678 |
| Mailing Address: | 5171 S Cottonwood St, Ste 650 MURRAY |
| State: | UT |
| Postal Code: | 841075716 |
| Phone Number: | 3522650606 |
| Fax Number: | 3522650678 |
| NPI Enumeration Date: | 12/09/2006 |
| NPI Last Update Date: | 02/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204F00000X |
| License Number: | 10757 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Transplant Surgery |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |