Provider Demographics
NPI:1619782208
Name:RUTOS HEALTH CLINIC
Entity type:Organization
Organization Name:RUTOS HEALTH CLINIC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LILIANA
Authorized Official - Middle Name:ARIELA
Authorized Official - Last Name:ESTRADA RUTO
Authorized Official - Suffix:
Authorized Official - Credentials:DHHDNMBCIP
Authorized Official - Phone:786-623-1640
Mailing Address - Street 1:PO BOX 4521
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98063-4521
Mailing Address - Country:US
Mailing Address - Phone:786-623-1640
Mailing Address - Fax:
Practice Address - Street 1:4447 TALMADGE RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-3500
Practice Address - Country:US
Practice Address - Phone:888-700-4858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-11
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center