Individual provider · Type 1 NPI

Jose Ruiz, PA

Physician Assistant · Tampa, FL

NPI number 1417819855 Active

Practice location

PO Box 82969
Tampa, FL 33682-2969

Mailing address

15420 Livingston Ave Apt 2412
Lutz, FL 33559-3410

Other practice locations

  • 8213 W Waters Ave, Tampa, FL 33615-1822 · (813) 397-5300

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9121277 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1417819855

Jose Ruiz, PA's National Provider Identifier is 1417819855, issued on Nov 24, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tampa, FL. The record was last updated on Apr 13, 2026.