Provider Demographics
NPI:1578038410
Name:RUIZ, YEROLINE ZENNETTE
Entity Type:Individual
Prefix:
First Name:YEROLINE
Middle Name:ZENNETTE
Last Name:RUIZ
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 1:133 CALLE MAGA ESTANCIAS MONTE RIO
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737
Mailing Address - Country:US
Mailing Address - Phone:787-241-7083
Mailing Address - Fax:
Practice Address - Street 1:133 CALLE MAGA ESTANCIAS MONTE RIO
Practice Address - Street 2:
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00737-9696
Practice Address - Country:US
Practice Address - Phone:787-241-7083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-08
Last Update Date:2018-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral