Provider Demographics
NPI:1508835869
Name:RUIZ-SERRANO, DENIS (MD)
Entity Type:Individual
Prefix:
First Name:DENIS
Middle Name:
Last Name:RUIZ-SERRANO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 GONZALEZ GIUSTI AVE
Mailing Address - Street 2:CAPARRA GALLERY BUILDING SUITE 204
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-782-6334
Mailing Address - Fax:787-792-6089
Practice Address - Street 1:107 GONZALEZ GIUSTI AVE
Practice Address - Street 2:CAPARRA GALLERY BUILDING SUITE 204
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-782-6334
Practice Address - Fax:787-792-6089
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-17
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13198207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
H35279Medicare UPIN