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NPI Code Detail

MEDICARE: MRS. ANA MARIA RUIZ PSY.D.

MEDICARE:  MRS. ANA MARIA RUIZ  PSY.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
1103TC0700XClinical Psychologist4042PR

General Provider Information

NPI Number : 1639436884
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANA MARIA RUIZ PSY.D.
Provider Business Mailing Address
First Line : GIBRALTAR #2108 LA RAMBLA
Second Line :
City : PONCE
State : PR
Zip : 00730-4083
Country : US
Telephone Number : 787-449-7396
Fax Number :
Provider Business Practice Location Address
First Line : 2108 CALLE GIBRALTAR
Second Line :
City : PONCE
State : PR
Zip : 00730-4083
Country : US
Telephone Number : 787-449-7396
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2012
Last Update Date : 04/12/2012

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Directions to “ MRS. ANA MARIA RUIZ PSY.D.” Practice Location

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