Active NPIIndividual providerSole proprietor

Marangely Ruiz Medina

Dentist, Endodontics in Lake Mary, Florida

NPI Number1366070195
Practice location
3779 Lake Emma RD, Lake Mary, FL 32746-6156
Fax
—
Last updated
July 12, 2025

Marangely Ruiz Medina is a Dentist, Endodontics based in Lake Mary, FL. Marangely Ruiz Medina practices in Lake Mary, FL. The NPI Number for Marangely Ruiz Medina is 1366070195 and holds a License No. DN25737 (FL). The current practice location address for Marangely Ruiz Medina is 3779 Lake Emma RD, Lake Mary, FL 32746-6156 and can be reached out via phone at 407-547-1359.

Provider Profile Details

NPI Number
1366070195
Provider Name
Marangely Ruiz Medina
Provider Entity Type
Individual
Gender
Female
Address
3779 Lake Emma RD, Lake Mary, FL 32746-6156
Phone Number
407-547-1359
Primary Taxonomy
Dentist, Endodontics · 1223E0200X
Sole Proprietor
Yes
Provider Enumeration Date
March 28, 2020
Last Update Date
July 12, 2025
Certification Date
July 12, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
3779 Lake Emma RD
Lake Mary, FL 32746-6156
State
Florida
Zip
32746-6156
Phone Number
407-547-1359
Lake Mary, FL 32746Get directions →

Provider Business Mailing Address Details

Address
Po Box 190879
San Juan, PR 00919-0879
City
San Juan
State
PR
Zip
00919-0879

License Information

License Number
DN25737
License State
FL
Taxonomy
Dentist, Endodontics · 1223E0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marangely Ruiz Medina?

The NPI number of Marangely Ruiz Medina is 1366070195. It was assigned on March 28, 2020 and is currently active in the NPPES registry.

What is the specialty of Marangely Ruiz Medina?

Marangely Ruiz Medina is registered under the primary taxonomy Dentist, Endodontics (code 1223E0200X), licensed in FL under license number DN25737.

Where does Marangely Ruiz Medina practice?

The practice location is 3779 Lake Emma RD, Lake Mary, FL 32746-6156. The office can be reached at 407-547-1359 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366070195 directly on the NPPES registry website.

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