Provider Demographics
NPI:1184629081
Name:POLICLINICA DR SALVADOR RIBOT RUIZ INC
Entity Type:Organization
Organization Name:POLICLINICA DR SALVADOR RIBOT RUIZ INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE-DIRECTOR MEDICO
Authorized Official - Prefix:DR
Authorized Official - First Name:SALVADOR
Authorized Official - Middle Name:
Authorized Official - Last Name:RIBOT RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-776-3840
Mailing Address - Street 1:PO BOX 800
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00986-0800
Mailing Address - Country:US
Mailing Address - Phone:787-776-3840
Mailing Address - Fax:787-761-0613
Practice Address - Street 1:POLICLINICA DR RIBOT RUIZ INC
Practice Address - Street 2:CARR. 857 KM 0.4 BARRIO CANOVANILLAS
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00986-0000
Practice Address - Country:US
Practice Address - Phone:787-776-3840
Practice Address - Fax:787-761-0613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-16
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0084672Medicaid