Individual provider · Type 1 NPI

Alexandria Ruidiaz

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1104507987 Active

Practice location

157 Green St
Boston, MA 02130-2667

Mailing address

780 William T Morrissey Blvd
Boston, MA 02122-3748

Other practice locations

  • 100 Cummings Ctr Ste 307E, Beverly, MA 01915-6107 · (978) 922-2280

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104507987

Alexandria Ruidiaz's National Provider Identifier is 1104507987, issued on Jul 26, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Aug 12, 2024.