| Vida Mia Ruiz, CNM | |
|
63 Main St, 3rd Floor, Brockton, MA 02301-4042 | |
| (508) 559-6699 | |
| Not Available |
| Full Name | Vida Mia Ruiz |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 63 Main St, Brockton, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154645992 | NPI | - | NPPES |
| RN2268111 | Other | MA | NURSE MIDWIFERY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 2268111 (Massachusetts) | Primary |
| Entity Name | Brockton Neighborhood Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225085319 PECOS PAC ID: 3870491699 Enrollment ID: O20031230000558 |
| Entity Name | Reliant Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720017528 PECOS PAC ID: 5597755322 Enrollment ID: O20040708000650 |
| Entity Name | Saint Vincent Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013997329 PECOS PAC ID: 8921056276 Enrollment ID: O20050104000566 |
| Entity Name | Obhg Massachusetts - Direct Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487229035 PECOS PAC ID: 1456752609 Enrollment ID: O20210625001903 |
| Mailing Address | Practice Location Address |
|---|---|
| Vida Mia Ruiz, CNM 63 Main Street, 3rd Floor, Brockton, MA 02301 Ph: (508) 559-6699 | Vida Mia Ruiz, CNM 63 Main St, 3rd Floor, Brockton, MA 02301-4042 Ph: (508) 559-6699 |
Michelle Hoffman, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 Fax: 508-559-5073 | |
Letitia L Sullivan, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-894-0400 Fax: 508-565-0157 | |
Masimbiti Rabecca Kunje, CNM Advanced Practice Midwife Medicare: May Accept Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7000 | |
Dianne H Quadros, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-894-0400 Fax: 508-894-0332 | |
Lisa Kelley, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 | |
Ms. Lesli Ellen Warren, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 Fax: 508-559-5073 |