Healthcare Provider Details

I. General information

NPI: 1033027123
Provider Name (Legal Business Name): KARINA RUIZ RIVERA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE SAN ROBERTO #997 PROFESSIONAL OFFICE PARK IV, PISO 4
SAN JUAN PR
00926
US

IV. Provider business mailing address

PROFESSIONAL OFFICES PARK IV CALLE SAN ROBERTO #997, PISO 4
SAN JUAN PR
00926
US

V. Phone/Fax

Practice location:
  • Phone: 787-773-6501
  • Fax: 787-773-6544
Mailing address:
  • Phone: 787-773-6501
  • Fax: 787-773-6544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: