Provider Demographics
NPI:1982827903
Name:RODRIGUEZ RUIZ, RUTH R (RPT)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:R
Last Name:RODRIGUEZ RUIZ
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 61 BOX 5263
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-9516
Mailing Address - Country:US
Mailing Address - Phone:787-344-6558
Mailing Address - Fax:787-551-7316
Practice Address - Street 1:CARRETERA 4417 KM 2.3
Practice Address - Street 2:SECTOR JIMENEZ
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602-0000
Practice Address - Country:US
Practice Address - Phone:787-344-6558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1211225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist