Individual provider Active NPI

Liliana Ruiz-Leon, D.O.

  • Obstetrics & Gynecology Physician
  • Las Vegas, NV
National Provider Identifier
1700995446
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
1263 Issued in NV
Practice address
2020 Wellness Way Ste 206
Las Vegas, NV 89106-4145
Phone
(702) 893-8968
Fax
(702) 458-2478
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 1263 NV Primary

Addresses

Primary practice location

2020 Wellness Way Ste 206
Las Vegas, NV 89106-4145

Mailing address

2159 Stage Stop Dr
Henderson, NV 89052-5824
Phone (702) 588-3613

Other identifiers 1

IdentifierTypeStateIssuer
100509794MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090626000493 NV Practitioner - Obstetrics/Gynecology 8426109745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1700995446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2159 STAGE STOP DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525824",
            "telephone_number": "702-588-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 WELLNESS WAY STE 206",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064145",
            "telephone_number": "702-893-8968",
            "fax_number": "702-458-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ-LEON",
        "first_name": "LILIANA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "1263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100509794",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.