MEDICARE: RUBEN GALARZA 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	208000000X	Pediatrics Physician	4800	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	203740	OTHER	PR	MEDICAL PLAN
2	02693	OTHER	PR	MEDICAL PLAN
3	7682035	OTHER	PR	MEDICAL PLAN
4	3-4800	OTHER	PR	MEDICAL PLAN
5	25561	OTHER	PR	MEDICAL PLAN
6	2693	OTHER	PR	MEDICAL PLAN
7	25861	OTHER	PR	MEDICAL PLAN
8	4104800	OTHER	PR	MEDICAL PLAN
9	SE4534	OTHER	PR	MEDICAL PLAN
10	06526	OTHER	PR	MEDICAL PLAN

General Provider Information

NPI Number	:	1770638314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUBEN GALARZA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 24
Second Line	:
City	:	YAUCO
State	:	PR
Zip	:	00698-0024
Country	:	US
Telephone Number	:	787-836-2903
Fax Number	:	787-836-4298

Provider Business Practice Location Address
First Line	:	LUIS MUNOZ RIVERA
Second Line	:	307
City	:	PENUELAS
State	:	PR
Zip	:	00624
Country	:	US
Telephone Number	:	787-836-2903
Fax Number	:	787-836-4298

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

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	02/12/2014

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