Healthcare Provider Details

I. General information

NPI: 1992660385
Provider Name (Legal Business Name): DANIEL RUIZ SOLER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 149 KM 63.8 PROFESSIONAL BUILDING SUITE 2001 BARRIO GUAYABAL
JUANA DIAZ PR
00795-9519
US

IV. Provider business mailing address

1217 CALLE DON QUIJOTE COSTA CARIBE
PONCE PR
00716-2020
US

V. Phone/Fax

Practice location:
  • Phone: 787-504-8229
  • Fax: 787-580-7668
Mailing address:
  • Phone: 787-504-8229
  • Fax: 787-580-7668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIEL ALFONSO RUIZ SOLER
Title or Position: MD
Credential: MD
Phone: 787-504-8229