Provider Demographics
NPI:1598974065
Name:RUIZ-ORONA, ISRAEL ALEJANDRO
Entity Type:Individual
Prefix:
First Name:ISRAEL
Middle Name:ALEJANDRO
Last Name:RUIZ-ORONA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CARRETERA 833 , COND. TORRE SAN MIGUEL
Mailing Address - Street 2:APT.1702
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-998-0855
Mailing Address - Fax:
Practice Address - Street 1:833 TORRE SAN MIGUEL
Practice Address - Street 2:APT.1702
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-998-0855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10356208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty