Healthcare Provider Details

I. General information

NPI: 1689675662
Provider Name (Legal Business Name): FELIX RUIZ ALVAREZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 01/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73 CALLE SANTA CRUZ SUITE 107-B
BAYAMON PR
00961-6910
US

IV. Provider business mailing address

73 CALLE SANTA CRUZ SUITE 107-B
BAYAMON PR
00961-6910
US

V. Phone/Fax

Practice location:
  • Phone: 787-785-3790
  • Fax: 787-294-6843
Mailing address:
  • Phone: 787-785-3790
  • Fax: 787-294-6843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number11893
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: