Rutza St Cyr

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

6907039 Issued in FL

Practice address

67 Raemoor Dr
Palm Coast, FL 32164-6854

Phone

(516) 514-6143

NPI assigned

Mar 23, 2021

Last updated

Mar 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Rutza St Cyr Other name

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": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1639755374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 RAEMOOR DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321646854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 RAEMOOR DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321646854",
            "telephone_number": "516-514-6143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST CYR",
        "first_name": "RUTZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "6907039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTZA",
            "last_name": "ST CYR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Spine Recovery Clinic
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• Spiritual Cestoni's Care Center
• Michael John Sposito, PT, DPT
• Tatyana Dmitrievna Srybnykh, PA-C
• Nathan St. Pierre
• Linda Mae Staffon, PHARMD
• Alyssa Stansfield, OTR/L
• Merrill Lee Stass-Isern, MD
• Charles I Stein, MD

• Assisted Living Facility in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.