Fredy Ruiz, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9109956 Issued in FL

Practice address

3211 Ponce de Leon Blvd
Suite 102
Coral Gables, FL 33134-7274

Phone

(305) 443-3480

NPI assigned

Oct 17, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1144771049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 NW 99TH PL",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721046",
            "telephone_number": "786-261-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 PONCE DE LEON BLVD",
            "address_2": "SUITE 102",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331347274",
            "telephone_number": "305-443-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "FREDY",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9109956",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9109956",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antuanet Ruiz, OT
• Armando Ruiz, M.D.
• Brianna Ruiz
• Celina Ann Ruiz, O.D.
• Danny Ruiz
• Graciela M. Ruiz, M.D.
• Hayme Ruiz, DO
• Jorge R Ruiz, M.D.
• Nerys Ruiz
• Patricia Ruiz, MS, SLP

• Medical Physician Assistant in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.