Esteban Alfonzo Ruiz MD,PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME53805 Issued in FL

Legal business name

ESTEBAN ALFONZO RUIZ MD,PA

Practice address

13910 Fivay Rd Ste 15
Hudson, FL 34667-7130

Phone

(727) 375-1953

Fax

(727) 484-6173

NPI assigned

Mar 10, 2008

Organization subpart

No

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

Authorized official

Name

Kelly Fox

Title

Office Administrator

Phone

(727) 484-6169

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Esteban Alfonzo Ruiz, MD

  • Internal Medicine Physician
  • Hudson, FL
  • NPI 1740226794
  Medicare reassignment NPD

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1174793871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13910 FIVAY RD STE 15",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677130",
            "telephone_number": "727-484-6169",
            "fax_number": "727-484-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13910 FIVAY RD STE 15",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677130",
            "telephone_number": "727-375-1953",
            "fax_number": "727-484-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTEBAN ALFONZO RUIZ MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "727-484-6169"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME53805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049101200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Ernst, ARNP
• Jacklien T Erwin, MD
• Maria C Escano, M.D.
• Faraz Nick Eshaghi, DO
• Linda Marisol Espinal, MA, CACP IN SC; LMHC
• Jaime Estrada, D.D.S
• Kayla Fabella
• Faith Foster Care, LLC
• Irini Faltas
• Family Wellness Clinic LLP

• Internal Medicine Physician in Hudson, FL
• Providers in Hudson, 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 Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.