Provider Demographics
NPI:1578506937
Name:RUIZ, OSCAR A (MD)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:A
Last Name:RUIZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:400 AVE. F.D ROOSEVELT
Mailing Address - Street 2:SUITE 410
Mailing Address - City:HATO REY
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-753-6414
Mailing Address - Fax:787-763-7125
Practice Address - Street 1:400 AVE. F.D ROOSEVELT
Practice Address - Street 2:SUITE 410
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-753-6414
Practice Address - Fax:787-763-7125
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR67602084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR98413Medicare UPIN