Provider Demographics
NPI:1356496608
Name:RUIZ-VALE, WILLIAM JOSE (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOSE
Last Name:RUIZ-VALE
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:362 CALLE SABALO
Mailing Address - Street 2:PASEO LAS OLAS
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-4655
Mailing Address - Country:US
Mailing Address - Phone:787-278-2393
Mailing Address - Fax:305-906-7602
Practice Address - Street 1:349 CALLE MENDEZ VIGO
Practice Address - Street 2:PABELLON RAFAEL HERNANDEZ COLON
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-4917
Practice Address - Country:US
Practice Address - Phone:787-278-2393
Practice Address - Fax:305-906-7602
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR12361207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG49363Medicare ID - Type Unspecified