Carrero-Ruiz, Lourdes
Carrero-Ruiz, Lourdes is an individual health care provider with primary practice located at 3487 Broadway Avenue , Fort Myers FL 33901-7213. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Carrero-Ruiz, Lourdes can be contacted via phone (239) 334-9555.Contact Information
Primary practice address
3487 Broadway Avenue
Fort Myers FL 33901-7213
Phone: (239) 334-9555
Fax: (239) 334-2832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 10482 | Puerto Rico |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ACN117 | Florida |
Profile Details
| NPI number | 1225092182 |
|---|---|
| LBN Legal business name | Carrero-Ruiz, Lourdes |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2006 |
| Last updated | Dec 2nd, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225092182 | NPPES |
| Florida | MEDICAID | 003953400 | |
| Florida | Other | IZ052X |
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