MEDICARE: MORAIMA RUIZ PHARMACIST

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	183500000X	Pharmacist	3922	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3922	OTHER	PR	PHARMACIST

General Provider Information

NPI Number	:	1972855070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORAIMA RUIZ PHARMACIST

Provider Business Mailing Address
First Line	:	6400 AVE.ISLA VERDE
Second Line	:	COND.LOS PINOS TORRE OESTE APT.2H
City	:	CAROLINA
State	:	PR
Zip	:	00979
Country	:	US
Telephone Number	:	787-385-2660
Fax Number	:

Provider Business Practice Location Address
First Line	:	6400 AVE.ISLA VERDE
Second Line	:	COND.LOS PINOS TORRE OESTE APT.2H
City	:	CAROLINA
State	:	PR
Zip	:	00979
Country	:	US
Telephone Number	:	787-385-2660
Fax Number	:

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

Provider Enumeration Date	:	10/12/2012
Last Update Date	:	10/12/2012

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Directions to “ MORAIMA RUIZ PHARMACIST” Practice Location

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