Healthcare Provider Details

I. General information

NPI: 1780844548
Provider Name (Legal Business Name): MARIA CRISTINA RUEDA-GONZALEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2008
Last Update Date: 09/09/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RESIDENCIAS INTERMETRO OFICINA 9 CARR 177 LOS FILTROS
SAN JUAN PR
00927
US

IV. Provider business mailing address

PO BOX 368135
SAN JUAN PR
00936-9135
US

V. Phone/Fax

Practice location:
  • Phone: 787-973-8592
  • Fax:
Mailing address:
  • Phone: 787-973-8592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number21675
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: