Pedro Ruiz MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PEDRO RUIZ MD PA

Doing business as

Adult Primary Care Of Polk County

Practice address

4740 Exploration Ave
Lakeland, FL 33812-3319

Phone

(863) 666-9020

Fax

(863) 606-0887

NPI assigned

Aug 5, 2007

Last updated

Sep 22, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Pedro Ruiz, M.D., P.A.NPI 1427039387

Title

Owner/President

Phone

(863) 666-9020

Specialties & licenses 1

Addresses

Other names 1

• Adult Primary Care Of Polk County Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pedro Ruiz, MD

  • Internal Medicine Physician
  • Lakeland, FL
  • NPI 1427039387
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1013108273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 EXPLORATION AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338123319",
            "telephone_number": "863-666-9020",
            "fax_number": "863-606-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 EXPLORATION AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338123319",
            "telephone_number": "863-666-9020",
            "fax_number": "863-606-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO RUIZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "863-666-9020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Primary Care Of Polk County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pediatric Services of America, LLC (Aveanna Healthcare)
• Pediatric Therapy Services Inc
• Pediatrix Medical Group of Florida Inc
• Pediatrix Medical Group of Florida, Inc
• Pediatrix Medical Group of Florida, Inc
• Katherine Jane Welch Peeples, DC
• Kathryn Nicole Peeples, ARNP
• Janelle Peery, M.D.
• Laura J Pellegrini, APRN
• Sharlie Ann Pelletier, COTA

• Internal Medicine Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.