Provider Demographics
NPI:1346298775
Name:ALVAREZ RUIZ, JESUS MANUEL (MD)
Entity Type:Individual
Prefix:
First Name:JESUS
Middle Name:MANUEL
Last Name:ALVAREZ RUIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7375
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-7375
Mailing Address - Country:US
Mailing Address - Phone:787-744-5414
Mailing Address - Fax:787-258-4587
Practice Address - Street 1:66 AVE DEGETAU APT 500
Practice Address - Street 2:HIMA PLAZA 1 SUITE 505
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-5844
Practice Address - Country:US
Practice Address - Phone:787-744-5414
Practice Address - Fax:787-258-4587
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2009-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5326207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR6610095OtherHUMANA
PR6610095OtherHUMANA
PR660545671OtherEIN
PR6610095OtherHUMANA