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

Mario Ruiz

Individual provider Licensed Practical Nurse · NPI 1013725720

Mario Ruiz is a Licensed Practical Nurse in Cocoa, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

3602 E Malory Ct
Cocoa, FL 32926-4497
Phone: (321) 806-0356
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence PN5152315 (FL)

Record details

NPI number1013725720
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 27, 2024
Last updated in NPPESDecember 27, 2024
Certification dateDecember 27, 2024
Mailing address3602 E Malory Ct, Cocoa, FL 32926-4497

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