Mark Edward Ruiz, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT2830 Issued in TX

Practice address

8107 Silver Hampton
San Antonio, TX 78254-2805

Phone

(210) 375-6846

NPI assigned

May 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598973117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8107 SILVER HAMPTON",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782542805",
            "telephone_number": "210-375-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8107 SILVER HAMPTON",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782542805",
            "telephone_number": "210-375-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT2830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ruiz, PA-C
• Kylie Mae Marie Ruiz
• Lorraine Ruiz
• Mario Alberto Ruiz
• Mario E Ruiz, MD
• Martha Ann Ruiz, AGNP
• Mary Ruiz, LVN
• Micah Ruiz, HIS
• Omar Julian Ruiz
• Peggy S. Ruiz, RDH

• Athletic Trainer in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.