Provider Demographics
NPI:1861632242
Name:RUIZ PLACIDO, BETSY L (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BETSY
Middle Name:L
Last Name:RUIZ PLACIDO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 770
Mailing Address - Street 2:
Mailing Address - City:HORMIGUEROS
Mailing Address - State:PR
Mailing Address - Zip Code:00660-0770
Mailing Address - Country:US
Mailing Address - Phone:787-385-9137
Mailing Address - Fax:
Practice Address - Street 1:MEDICAL CENTER PLAZA SUITE 213
Practice Address - Street 2:740 AVE HOSTOS
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-810-3144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-25
Last Update Date:2015-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3303103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical