Provider Demographics
NPI:1346417565
Name:RUIZ, HECTOR L (MEDICAL TECHNOLOGIST)
Entity Type:Individual
Prefix:
First Name:HECTOR
Middle Name:L
Last Name:RUIZ
Suffix:
Gender:M
Credentials:MEDICAL TECHNOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 CALLE ANTONIO R BARCELO
Mailing Address - Street 2:
Mailing Address - City:MAUNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00707-2141
Mailing Address - Country:US
Mailing Address - Phone:787-861-0100
Mailing Address - Fax:
Practice Address - Street 1:21 CALLE ANTONIO R BARCELO
Practice Address - Street 2:
Practice Address - City:MAUNABO
Practice Address - State:PR
Practice Address - Zip Code:00707-2141
Practice Address - Country:US
Practice Address - Phone:787-861-0100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-15
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1459246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0031545Medicare PIN