Leidys Stefanye Ballestas Ruiz, SA-

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

18-365 Issued in FL

Practice address

10005 NW 4TH St
Pembroke Pines, FL 33024-6196

Phone

(954) 529-9062

NPI assigned

Jan 12, 2019

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

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": "1547251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547251200000",
    "number": "1861966889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10005 NW 4TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10005 NW 4TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246196",
            "telephone_number": "954-529-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLESTAS RUIZ",
        "first_name": "LEIDYS",
        "middle_name": "STEFANYE",
        "credential": "SA-",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-12",
        "last_updated": "2019-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "18-365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balance and Blossom Nutrition LLC
• Balancemed LLC
• Jordan Baldasare, AU.D.
• Baldev Singh, MD,PA
• Angelo Alan Baldonado, COTA/L
• Zoraida Ballestas
• Rishiraj Laxmirajam Bandi, MD
• Leslie Ann Sheree Banks, DNP, APRN
• Baptist Health Medical Plaza Pembroke Pines
• Nina Baptista, APRN

• Surgical Assistant in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Surgical Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2019; 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.