Provider Demographics
NPI:1629893417
Name:RUIZ, CESAR ALVAREZ (MD)
Entity type:Individual
Prefix:DR
First Name:CESAR
Middle Name:ALVAREZ
Last Name:RUIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4504 CAMDEN RIDGE DRIVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-9280
Mailing Address - Country:US
Mailing Address - Phone:336-931-1047
Mailing Address - Fax:
Practice Address - Street 1:4504 CAMDEN RIDGE DRIVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-9280
Practice Address - Country:US
Practice Address - Phone:336-931-1047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200500109207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology