Provider Demographics
NPI:1760556732
Name:RUIZ, LISBETH
Entity Type:Individual
Prefix:MRS
First Name:LISBETH
Middle Name:
Last Name:RUIZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 9 BOX 92106
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-6556
Mailing Address - Country:US
Mailing Address - Phone:787-449-8992
Mailing Address - Fax:
Practice Address - Street 1:72 AVE. MATIAS BRUGMAN
Practice Address - Street 2:
Practice Address - City:LAS MARIAS
Practice Address - State:PR
Practice Address - Zip Code:00685-2009
Practice Address - Country:US
Practice Address - Phone:787-827-0747
Practice Address - Fax:787-827-0344
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5708183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician