Healthcare Provider Details

I. General information

NPI: 1841605953
Provider Name (Legal Business Name): JONATHAN J. RUIZ GARCIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2014
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB LA SIERRA DEL RIO E12 CALLE 1
SAN JUAN PR
00926-4331
US

IV. Provider business mailing address

AVE LA SIERRA 300 BOX 22
SAN JUAN PR
00926-4331
US

V. Phone/Fax

Practice location:
  • Phone: 787-356-0588
  • Fax:
Mailing address:
  • Phone: 787-356-0588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number19150
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: