MEDICARE: DR. LUIS A RUIZ MELENDEZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	8137	PR

General Provider Information

NPI Number	:	1043344260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUIS A RUIZ MELENDEZ M.D.

Provider Business Mailing Address
First Line	:	730 AVE PONCE DE LEON
Second Line	:	OFICINA 6
City	:	SAN JUAN
State	:	PR
Zip	:	00918-4509
Country	:	US
Telephone Number	:	787-274-1603
Fax Number	:	787-274-1603

Provider Business Practice Location Address
First Line	:	730 AVE PONCE DE LEON
Second Line	:	OFICINA 6
City	:	SAN JUAN
State	:	PR
Zip	:	00918-4509
Country	:	US
Telephone Number	:	787-274-1603
Fax Number	:	787-274-1603

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	07/08/2007

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