Provider Demographics
NPI:1811947260
Name:RUIZ, MARIA ELENA (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ELENA
Last Name:RUIZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:110 IRVING ST NW
Mailing Address - Street 2:#2A38
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2976
Mailing Address - Country:US
Mailing Address - Phone:202-877-2848
Mailing Address - Fax:202-877-6292
Practice Address - Street 1:2150 PENNSYLVANIA AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-3201
Practice Address - Country:US
Practice Address - Phone:202-741-2234
Practice Address - Fax:202-741-2241
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2022-05-24
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Provider Licenses
StateLicense IDTaxonomies
DCMD31414207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5886708Medicaid
DC034776900Medicaid
MD401841900Medicaid