Provider Demographics
NPI:1487848933
Name:RUIZ-MONTANEZ, MARIA DEL SOCORRO (RPH)
Entity Type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:DEL SOCORRO
Last Name:RUIZ-MONTANEZ
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BDA BLONDET CALLE B #111
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00784-6813
Mailing Address - Country:US
Mailing Address - Phone:787-204-6926
Mailing Address - Fax:787-866-2075
Practice Address - Street 1:AVE LOS VETERANOS # KM 134.7
Practice Address - Street 2:
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784
Practice Address - Country:US
Practice Address - Phone:787-686-9408
Practice Address - Fax:787-866-2075
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4198183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist