Provider Demographics
NPI:1871162602
Name:MENDIGUTIA RUIZ, BELKYS TERESITA (MSN,APRN,FNP)
Entity type:Individual
Prefix:
First Name:BELKYS
Middle Name:TERESITA
Last Name:MENDIGUTIA RUIZ
Suffix:
Gender:F
Credentials:MSN,APRN,FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9331 SW 6TH LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-2270
Mailing Address - Country:US
Mailing Address - Phone:305-316-0180
Mailing Address - Fax:
Practice Address - Street 1:9331 SW 6TH LN
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-2270
Practice Address - Country:US
Practice Address - Phone:305-316-0180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-24
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11013410207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine