Provider Demographics
NPI:1649416629
Name:DIAZ MORALES, RUTH E (RPT)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:E
Last Name:DIAZ MORALES
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Gender:F
Credentials:RPT
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Mailing Address - Street 1:CALLE 218 4Q NUM 15
Mailing Address - Street 2:COLINAS DE FAIRVIEW
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976
Mailing Address - Country:US
Mailing Address - Phone:787-487-8360
Mailing Address - Fax:787-784-9264
Practice Address - Street 1:CALLE 218 4Q #15
Practice Address - Street 2:COLINAS DE FAIRVIEW
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976
Practice Address - Country:US
Practice Address - Phone:787-487-8360
Practice Address - Fax:787-784-9264
Is Sole Proprietor?:No
Enumeration Date:2008-12-23
Last Update Date:2012-09-17
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Provider Licenses
StateLicense IDTaxonomies
PR781225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist