LESLIE RUIZ – Clinical Neuropsychologist, NPI 1043588486

LESLIE RUIZ is a healthcare provider. based in Davie, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold a License No. PY12387 (FL). The NPI Number for LESLIE RUIZ is 1043588486

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
LESLIE RUIZ
NPI
1043588486
Phone
(954) 577-7790
Address
8001 SW 36th St
Enumeration Date
13 December 2011
Last Update Date
26 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3218413820
Graduation Year
2022 (4 years ago)
PAC ID
1850822982
Group Practice PAC ID
9537059084
Professional Enrollment ID
I20241001000737
Address ID
FL328061134OR32XXXSTXX407
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:14State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

Provider Addresses for LESLIE RUIZ

  • 8001 SW 36th St

    Suite 9

    Davie, FL 333281915

    Phone: (954) 577-7790

    Fax: (954) 577-7780

    Type: Location

  • 32 W GORE ST FL 5

    ORLANDO, FL 328061134

    Phone: (321) 841-3820

    Fax: (321) 843-6836

    Type: Mailing

  • 8001 SW 36TH ST

    SUITE 9

    DAVIE, FL 333281915

    Phone: (954) 577-7790

    Fax: (954) 577-7780

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-01

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241001000737IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33328)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537059084View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for LESLIE RUIZ?
LESLIE RUIZ — NPI 1043588486 — is the standard way to identify this listing.
Does CMS list LESLIE RUIZ as active?
Yes — LESLIE RUIZ is active in the NPI listing used on this page.
What is LESLIE RUIZ's specialty?
The listing groups LESLIE RUIZ with Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
What address line appears for LESLIE RUIZ?
LESLIE RUIZ's geographic hint is Davie, Florida in our summary view.
Why does LESLIE RUIZ have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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