Provider Demographics
NPI:1245219864
Name:RUIZ, MARIA DE LOS ANGELES (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:DE LOS ANGELES
Last Name:RUIZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:AVE HOSTOS 351
Mailing Address - Street 2:MEDICAL EMPORIUM BUILDING SUITE 312
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680
Mailing Address - Country:US
Mailing Address - Phone:787-831-6595
Mailing Address - Fax:787-831-6575
Practice Address - Street 1:AVE HOSTOS 351
Practice Address - Street 2:MEDICAL EMPORIUM BUILDING SUITE 312
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-831-6595
Practice Address - Fax:787-831-6575
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-12
Last Update Date:2011-02-16
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Provider Licenses
StateLicense IDTaxonomies
PR126842080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine