MEDICARE: DR. ZAYRA C RUIZ ACOSTA PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	7263	PR

General Provider Information

NPI Number	:	1699428581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZAYRA C RUIZ ACOSTA PH.D.

Provider Business Mailing Address
First Line	:	CARR 129 INT 490
Second Line	:	KM 3,0 BO HATO ARRIBA
City	:	ARECIBO
State	:	PR
Zip	:	00612-8281
Country	:	US
Telephone Number	:	939-321-5333
Fax Number	:

Provider Business Practice Location Address
First Line	:	CARR 129 INT 490
Second Line	:	KM 3,0 BO HATO ARRIBA
City	:	ARECIBO
State	:	PR
Zip	:	00612-8281
Country	:	US
Telephone Number	:	939-321-5333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2022
Last Update Date	:	03/18/2026

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