Healthcare Provider Details

I. General information

NPI: 1679949630
Provider Name (Legal Business Name): RUTH ENID FLORES ESMURRIA PH.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2015
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 CALLE MUNOZ RIVERA
VILLALBA PR
00766-3029
US

IV. Provider business mailing address

URB ALTURAS DEL ENCANTO CALLE 9 G-37
JUANA DIAZ PR
00795-4131
US

V. Phone/Fax

Practice location:
  • Phone: 787-847-4270
  • Fax: 787-847-3057
Mailing address:
  • Phone: 787-847-4270
  • Fax: 787-847-3057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number3223
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: