Individual ProviderMabel RuizNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address258 S Chickasaw Trl Ste 210, Orlando, FL 32825-3501(407) 645-1847(407) 303-6588PECOS EnrollmentBased on the most recent information from CMS, provider Mabel Ruiz is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:51 AM.Profile DetailsProvider ID1174077440Provider TypeIndividualFull NameRuiz, MabelCredentialAPRNGenderFemaleSole ProprietorNoEnumeration Date8/4/2016Last Updated7/19/2021Contact InformationPractice LocationPractice Address258 S Chickasaw Trl Ste 210, Orlando, FL 32825-3501Phone(407) 645-1847Fax(321) 274-0322Mailing LocationMailing Address258 S Chickasaw Trl Ste 210, Orlando, FL 32825-3501Phone(407) 303-6588Fax(407) 303-6592Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP 9176071Florida