Grace Ruidera is a Specialist in Chicago, Illinois. Grace Ruidera practices all healthcare services and medical treatments related to Specialist. The NPI Number for Grace Ruidera is 1407886492. The last update date is 2018-11-12.
Grace Ruidera's current location address is Po Box 776066, Chicago, Illinois. You can contact this provider via phone number 4054554342 and fax number 4054554381. The mailing address for Grace Ruidera is Po Box 776066, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Grace Ruidera |
|---|---|
| Address | Po Box 776066, Chicago, Illinois |
| Phone Number | 4054554342 |
| Fax Number | 4054554381 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1407886492 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2018-11-12 |
Provider Mailing Address Detail
| Address | Po Box 776066 |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606776066 |
| Phone Number | 4054554342 |
| Fax Number | 4054554381 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 19279 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100035440B | OK | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Grace Ruidera by the Centers for Medicare & Medicaid Services?
The Grace Ruidera has been issued the NPI (National Provider Identifier) 1407886492. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Grace Ruidera?
The Grace Ruidera is physically situated at Po Box 776066, in the city of Chicago, state of IL, with the postal code 606776066.
What is Grace Ruidera's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Grace Ruidera is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did the Grace Ruidera receive the assignment of its 1407886492 from the Centers for Medicare & Medicaid Services?
The Grace Ruidera was issued its 1407886492 by the Centers for Medicare & Medicaid Services on 2006-07-04.
As of what date were the Grace Ruidera's details last updated?
The information pertaining to the Grace Ruidera, including its address, specialty, and other details, was most recently updated on 2018-11-12.