Provider Demographics
NPI:1023288941
Name:ROSARIO RUIZ, HECTOR L (MT)
Entity type:Individual
Prefix:MR
First Name:HECTOR
Middle Name:L
Last Name:ROSARIO RUIZ
Suffix:
Gender:M
Credentials:MT
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Other - Credentials:
Mailing Address - Street 1:CALLE C BLQ.A-24
Mailing Address - Street 2:JARDINES DE CAROLINA
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-7102
Mailing Address - Country:US
Mailing Address - Phone:787-750-1139
Mailing Address - Fax:787-768-9160
Practice Address - Street 1:CALLE C BLQ.A-24
Practice Address - Street 2:JARDINES DE CAROLINA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987-7102
Practice Address - Country:US
Practice Address - Phone:787-750-1139
Practice Address - Fax:787-768-9160
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-06
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR2023246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR30870Medicare PIN