Vida Mia Ruiz, CNM
Advanced Practice Midwife in Brockton, MA. Individual provider (NPI-1).
NPI number1154645992
StatusActive
Last updated in NPPESDec 27, 2011
Details
- NPI
- 1154645992
- Entity type
- Individual (NPI-1)
- Name
- Vida Mia Ruiz
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2010
- Last updated
- Dec 27, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED NURSE MIDWIFE (CNM)
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 2268111 | MA | Yes |
Practice location
63 Main St3rd Floor
Brockton, MA 02301-4042
Phone 508-559-6699
Mailing address
63 Main Street3rd Floor
Brockton, MA 02301
Phone 508-559-6699
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 9 Advanced Practice Midwife providers in Brockton · All 5,090 providers in Brockton
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