Healthcare Provider Details

I. General information

NPI: 1326985961
Provider Name (Legal Business Name): DOCTORES R RUIZ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AA3 CALLE BAUHINIA
CANOVANAS PR
00729-3551
US

IV. Provider business mailing address

AA3 CALLE BAUHINIA
CANOVANAS PR
00729-3551
US

V. Phone/Fax

Practice location:
  • Phone: 787-876-3007
  • Fax: 787-876-2736
Mailing address:
  • Phone: 787-876-3007
  • Fax: 787-876-2736

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDRA RODRIGUEZ RUIZ
Title or Position: VICE PRESIDENT
Credential: MD
Phone: 787-876-3007