Provider Demographics
NPI:1518421932
Name:RUIZ CASALS, ANA CAROLINA
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:CAROLINA
Last Name:RUIZ CASALS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CONCILIO DE SALUD INTEGRAL DE LOIZA
Mailing Address - Street 2:PROGRAMA DE RESIDENCIA EN MEDICINA DE FAMILIA
Mailing Address - City:LOIZA
Mailing Address - State:PR
Mailing Address - Zip Code:00772
Mailing Address - Country:US
Mailing Address - Phone:787-876-7415
Mailing Address - Fax:
Practice Address - Street 1:CONCILIO DE SALUD INTEGRAL DE LOIZA
Practice Address - Street 2:PROGRAMA DE RESIDENCIA EN MEDICINA DE FAMILIA
Practice Address - City:LOIZA
Practice Address - State:PR
Practice Address - Zip Code:00772
Practice Address - Country:US
Practice Address - Phone:787-876-7415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-30
Last Update Date:2024-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16321-I390200000X
PR36540R207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program