Most Relevant Information
Provider Data
| NPI Number: | 1003558123 |
| Provider Name: | KEVIN RUIZ MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/09/2022 |
| Last Updated: | 04/09/2022 |
Provider Practice Location
131 COVENTRY ST FL 2
HARTFORD
CT
061121548
Practice Location Phone/Fax
| Phone: | 8507143690 |
| Fax: | 8607148541 |
Provider Mailing Location
263 FARMINGTON AVE
FARMINGTON
CT
060301921
Provider Mailing Phone/Fax
| Phone: | 8606792147 |
| Fax: | 8606794624 |