Provider Demographics
NPI:1700027315
Name:RUIZ, HEIDY LIMARI (MA)
Entity Type:Individual
Prefix:MRS
First Name:HEIDY
Middle Name:LIMARI
Last Name:RUIZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 58 BOX 12365
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-9718
Mailing Address - Country:US
Mailing Address - Phone:787-390-3581
Mailing Address - Fax:787-252-6646
Practice Address - Street 1:BO JAGUEY CARR 411
Practice Address - Street 2:
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602
Practice Address - Country:US
Practice Address - Phone:787-390-3581
Practice Address - Fax:787-252-6646
Is Sole Proprietor?:No
Enumeration Date:2009-03-11
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3304103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling