OrganizationJose Roberto Ruiz(<Unavail>)DentistDental ProvidersPractice AddressFrancisco Javier Mina #1551, Tijuana, Baja California 22010 (Mexico)(619) 488-3200PECOS EnrollmentBased on the most recent information from CMS, provider Jose Roberto 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 ID1417454380Provider TypeOrganizationFull NameJose Roberto RuizOther Name<Unavail>SubpartNoEnumeration Date4/9/2018Last Updated4/9/2018Contact InformationPractice LocationPractice AddressFrancisco Javier Mina #1551, Tijuana, Baja California 22010 (Mexico)Phone(619) 488-3200Fax(866) 272-6924Mailing LocationMailing AddressFrancisco Javier Mina #1551, Tijuana, Baja California 22010 (Mexico)PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameRuiz, Jose Roberto (Dentist)Phone(619) 488-3200Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense3907411