Provider Demographics
NPI:1689630485
Name:RUIZ DE LA UZ, RAFAEL (MD)
Entity Type:Individual
Prefix:MR
First Name:RAFAEL
Middle Name:
Last Name:RUIZ DE LA UZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CARIMED PLAZA SUITE 401
Mailing Address - Street 2:B1 CALLE SANTA CRUZ
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-6933
Mailing Address - Country:US
Mailing Address - Phone:787-269-2585
Mailing Address - Fax:787-269-2552
Practice Address - Street 1:B1 CALLE SANTA CRUZ STE 401
Practice Address - Street 2:B1 CALLE SANTA CRUZ
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-6945
Practice Address - Country:US
Practice Address - Phone:787-269-2585
Practice Address - Fax:787-269-2552
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-21
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11968207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G73796Medicare UPIN
PR0089594Medicare PIN