OrganizationHector Ruiz(<Unavail>)DentistDental ProvidersPractice AddressPaseo De Los Heroes Tijuana #95 Ste C27-A, Tijuana, Baja California 22010 (Mexico)(619) 488-3200PECOS EnrollmentBased on the most recent information from CMS, provider Hector Ruiz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1285122416Provider TypeOrganizationFull NameHector RuizOther Name<Unavail>SubpartNoEnumeration Date4/24/2018Last Updated4/24/2018Contact InformationPractice LocationPractice AddressPaseo De Los Heroes Tijuana #95 Ste C27-A, Tijuana, Baja California 22010 (Mexico)Phone(619) 488-3200Fax(866) 272-6924Mailing LocationMailing Address4275 Executive Sq Ste 200, La Jolla, CA 92037-1476Phone(619) 488-3200Fax(866) 272-6924Authorized OfficialNameRuiz, Hector (Dentist)Phone(619) 488-3200Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense2818171