Provider Demographics
NPI:1467648378
Name:RUIZ, ALEJANDRO JR (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALEJANDRO
Middle Name:
Last Name:RUIZ
Suffix:JR
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1492 CAMINO ZOOLOGICO
Mailing Address - Street 2:MIRADERO
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682-7843
Mailing Address - Country:US
Mailing Address - Phone:787-319-4376
Mailing Address - Fax:787-265-5425
Practice Address - Street 1:1492 CAMINO ZOOLOGICO
Practice Address - Street 2:MIRADERO
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-7843
Practice Address - Country:US
Practice Address - Phone:787-319-4376
Practice Address - Fax:787-265-5425
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-25
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist