MEDICARE: SUGEILY GONZALEZ RUIZ

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	2355S0801X	Speech-Language Assistant	4403430	PR

General Provider Information

NPI Number	:	1770413866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUGEILY GONZALEZ RUIZ

Provider Business Mailing Address
First Line	:	300 CALLE DALIA
Second Line	:
City	:	DORADO
State	:	PR
Zip	:	00646-5615
Country	:	US
Telephone Number	:	787-949-3474
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 CALLE DALIA
Second Line	:
City	:	DORADO
State	:	PR
Zip	:	00646-5615
Country	:	US
Telephone Number	:	787-949-3474
Fax Number	:

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

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

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Directions to “ SUGEILY GONZALEZ RUIZ ” Practice Location

Language	Start Address	Practice Location

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