Provider Demographics
NPI:1376745802
Name:RUIZ-PAGAN, ELOY
Entity Type:Individual
Prefix:DR
First Name:ELOY
Middle Name:
Last Name:RUIZ-PAGAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 AVE ORTEGON
Mailing Address - Street 2:APT. 1703
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-2500
Mailing Address - Country:US
Mailing Address - Phone:787-783-9277
Mailing Address - Fax:787-792-3831
Practice Address - Street 1:101 AVE ORTEGON
Practice Address - Street 2:APT. 1703
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966-2500
Practice Address - Country:US
Practice Address - Phone:787-783-9277
Practice Address - Fax:787-792-3831
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2978207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology