ALEXANDRIA RUIDIAZ
NPI 1104507987
Student in an Organized Health Care Education/Training Program in Boston, MA

Q: What is Alexandria Ruidiaz's NPI number?

The NPI number for Alexandria Ruidiaz is 1104507987. It was assigned to this individual provider in the NPPES registry on July 26, 2023.

Q: What is Alexandria Ruidiaz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since July 26, 2023

157 GREEN ST, BOSTON, MA 02130(617) 524-1120 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2024, Jul 27, 2023 (2 updates tracked since 2023).

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About Alexandria Ruidiaz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRIA RUIDIAZ (NPI 1104507987) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since July 2023. She maintains a secondary practice location in Beverly.

NPPES Registry Identity

NPI1104507987

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameALEXANDRIA RUIDIAZ

Location Address157 GREEN STBoston, MA 02130-2667

Mailing Address780 William T Morrissey BlvdBoston, MA 02122-3748 · (774) 433-2154

Phone(617) 524-1120

Sole ProprietorYes

Enumeration DateJuly 26, 2023

Last NPPES UpdateAugust 12, 20242 updates tracked since enumeration

NPPES CertifiedAugust 12, 2024

✔ NPI 1104507987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

157 GREEN ST, Boston, MA 02130

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Secondary Practice Location 1

Location 1100 Cummings Ctr Ste 307EBeverly, MA 01915-6107 · Phone (978) 922-2280

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LESLIE ANN OSTROW M.A., PH.D.

Counselor (Mental Health)