Provider Demographics
NPI:1376514612
Name:RODRIGUEZ-RUIZ, BELINDA (MD)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:
Last Name:RODRIGUEZ-RUIZ
Suffix:
Gender:F
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:POBOX 140
Mailing Address - Street 2:3950 CARR
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-203-8546
Mailing Address - Fax:
Practice Address - Street 1:743 CALLE ACUARIO
Practice Address - Street 2:VENUS GARDEN
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-4901
Practice Address - Country:US
Practice Address - Phone:787-215-2523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13449207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH36726Medicare UPIN
PR0020571Medicare ID - Type Unspecified