Healthcare Provider Details

I. General information

NPI: 1932061553
Provider Name (Legal Business Name): RUCA CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 CALLE MUNOZ RIVERA
PENUELAS PR
00624-2009
US

IV. Provider business mailing address

315 CALLE MUNOZ RIVERA
PENUELAS PR
00624-2009
US

V. Phone/Fax

Practice location:
  • Phone: 787-316-7791
  • Fax:
Mailing address:
  • Phone: 787-316-7791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: RUTH CALIZ
Title or Position: OWNER
Credential: MT
Phone: 787-316-7791