Provider Demographics
NPI:1922219898
Name:RUIZ MORELL, EMELDA (MD)
Entity Type:Individual
Prefix:DR
First Name:EMELDA
Middle Name:
Last Name:RUIZ MORELL
Suffix:
Gender:F
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:PO BOX 2140
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-9140
Mailing Address - Country:US
Mailing Address - Phone:787-233-3525
Mailing Address - Fax:
Practice Address - Street 1:CARR 130 KM 7.7 BO. BUENA VISTA
Practice Address - Street 2:
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659
Practice Address - Country:US
Practice Address - Phone:787-898-4848
Practice Address - Fax:787-544-6603
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR113212083X0100X, 208D00000X
106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician