Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marangely Ruiz Medina

Individual provider Endodontics · NPI 1366070195

Marangely Ruiz Medina is an Endodontics in Lake Mary, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020
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Practice location Address checks out

3779 Lake Emma Rd
Lake Mary, FL 32746-6156
Phone: (407) 547-1359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence DN25737 (FL)

Record details

NPI number1366070195
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 28, 2020
Last updated in NPPESJuly 12, 2025
Certification dateJuly 12, 2025

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