Provider Demographics
NPI:1033903687
Name:GONZALEZ RUIZ, SHEILA MARIA
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:MARIA
Last Name:GONZALEZ RUIZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18933 SW 354TH ST
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33034-5300
Mailing Address - Country:US
Mailing Address - Phone:305-609-2553
Mailing Address - Fax:305-609-2553
Practice Address - Street 1:18933 SW 354TH ST
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33034-5300
Practice Address - Country:US
Practice Address - Phone:305-609-2553
Practice Address - Fax:305-609-2553
Is Sole Proprietor?:No
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician