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NPI Code Detail

MEDICARE: MR. ANGEL LUIS RUIZ D.O.

MEDICARE:  MR. ANGEL LUIS RUIZ  D.O.
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
1156FX1800XOptician404PR

General Provider Information

NPI Number : 1922000223
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANGEL LUIS RUIZ D.O.
Provider Business Mailing Address
First Line : 109 ESAT DE DIEGO ST
Second Line :
City : MAYAGUEZ
State : PR
Zip : 00680
Country : US
Telephone Number : 787-834-3510
Fax Number :
Provider Business Practice Location Address
First Line : 109 CALLE DE DIEGO E
Second Line :
City : MAYAGUEZ
State : PR
Zip : 00680-4863
Country : US
Telephone Number : 787-834-3510
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 03/08/2026

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Directions to “ MR. ANGEL LUIS RUIZ D.O.” Practice Location

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