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Pedro Damian Ruiz

Physician β€’ Cape Coral, FL

Deactivated NPI 1467962969 Deactivated in NPPES Male Practitioner
Practice location in NPPES

2205 Ne 6th Pl
Cape Coral, FL 339094394

Phone: 2393626085

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of December 06, 2017; the reason is not published. The records below are historical. They do not show whether Pedro Ruiz currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date October 10, 2017
NPI Deactivation Date December 06, 2017
NPI Active Period 2017 – 2017

Practice Location & Contact Primary Location

Practice Address

2205 Ne 6th Pl

Cape Coral, FL 339094394

Telephone 2393626085

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Cape Coral and Florida

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Clinical Medical Laboratory Primary Specialty

NUCC Taxonomy Code: 291U00000X

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
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Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
⚠️
NPI Profile Deactivated December 07, 2017

NPPES lists this NPI as deactivated as of December 07, 2017; the reason is not published.

⚠️
NPI Profile Deactivated December 06, 2017

NPPES lists this NPI as deactivated as of December 06, 2017; the reason is not published.

βœ…
NPI Profile Active October 10, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 10, 2017

Registered at 2205 NE 6TH PL, CAPE CORAL, FL 339094394 (Tel: 2393626085)

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Business Mailing Address (Initial Record) October 10, 2017

Registered at 2205 NE 6TH PL, CAPE CORAL, FL 339094394 (Tel: 2393626085)

πŸ‘€
Provider Name / Credentials (Initial Record) October 10, 2017

Recorded as PEDRO RUIZ

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2017

Clinical Medical Laboratory

🟒
Initial NPI Registration & Enumeration October 10, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1467962969
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2017
Last Update: October 10, 2017
Deactivation Date: December 06, 2017

Mailing Address

2205 Ne 6th Pl

Cape Coral, FL 339094394

Phone: 2393626085

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.