Ruiz Diaz, Miguel A

Ruiz Diaz, Miguel A is an individual health care provider with primary practice located at 4730 Chicago Ave # Ms 26602G , Minneapolis MN 55407-3570. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Ruiz Diaz, Miguel A can be contacted via phone (952) 883-6805.

Contact Information

Primary practice address
4730 Chicago Ave # Ms 26602G Minneapolis MN 55407-3570
Fax: (952) 853-8864
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 38315 Minnesota
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 38315 Minnesota

Profile Details

NPI number 1659342012
LBN Legal business name Ruiz Diaz, Miguel A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Dec 30th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659342012 NPPES
Minnesota MEDICAID 517014100

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