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General NPI Number Information
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NPI Number | 1407396179
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Entity Type | Organization
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Legal Business Name | CARLOS E RUIZ RODRIGUEZ MD LLC
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Dates
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Enumeration Date | 03/01/2017
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Last Update Date | 02/15/2023
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Provider Practice Location Address
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Address Line | 150 AVE DE DIEGO STE 300
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City | SAN JUAN
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State | PR
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Zip | 00907-2322
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Country | US
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Telephone | 787-729-0606
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Fax | 787-729-4242
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Provider Business Mailing Address
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Address Line | J2 CALLE CLUB DR URB GARDEN HILL NORTE
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City | GUAYNABO
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State | PR
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Zip | 00966-2121
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Country | US
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Telephone | 787-528-0937
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARLOS E RUIZ
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Credential |
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Telephone | 787-528-0937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 13406
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License Number State | PR
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