National Provider Identifier

Luisa Daniela Ruck, D.O.

Luisa Daniela Ruck, D.O. is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Williamsville, NY and a listed phone number of (716) 688-9641.

NPI 1245893734Williamsville, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1245893734
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
April 19, 2019
Last Updated
July 10, 2020

Practice Location

  • 850 Hopkins RD
  • Williamsville, NY 14221-1729

Phone: (716) 688-9641

Mailing Address

  • 191 Tennyson Terrace, Unit A
  • Buffalo, NY 14221

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1245893734
Entity Type
Individual
Last Name
Ruck
First Name
Luisa
Middle Name
Daniela
Credential
D.O.
Provider Other Last Name
Quintero
Provider Other First Name
Luisa
Provider Other Middle Name
Daniela
Provider Other Credential Text
DO
Provider Other Last Name Type Code
1
Mailing Street Address
191 Tennyson Terrace, Unit A
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14221
Mailing Country
US
Mailing Phone
(623) 221-1490
Practice Street Address
850 Hopkins RD
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-1729
Practice Country
US
Practice Phone
(716) 688-9641
Enumeration Date
April 19, 2019
Last Updated
July 10, 2020
Sex
Female
Sole Proprietor
No
Certification Date
July 10, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)