Healthcare Provider Details

I. General information

NPI: 1386554467
Provider Name (Legal Business Name): DRA MONICA D RUIZ RUIZ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 2 VILLA AVELINA BO CORRALES
AGUADILLA PR
00603
US

IV. Provider business mailing address

HC 61 BOX 35790
AGUADA PR
00602-9492
US

V. Phone/Fax

Practice location:
  • Phone: 787-616-0111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MONICA D RUIZ RUIZ
Title or Position: PRESIDENT
Credential:
Phone: 939-289-8548