Provider Demographics
NPI:1134148760
Name:MOLINARY-RUIZ, MARLA Y (MD)
Entity type:Individual
Prefix:
First Name:MARLA
Middle Name:Y
Last Name:MOLINARY-RUIZ
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 1:116 CALLE LAUREL
Mailing Address - Street 2:LOS SAUCES
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00791-4904
Mailing Address - Country:US
Mailing Address - Phone:787-642-5244
Mailing Address - Fax:
Practice Address - Street 1:3 CALLE FONT MARTELO E
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791
Practice Address - Country:US
Practice Address - Phone:787-656-2438
Practice Address - Fax:939-307-8272
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14698208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR014698OtherPR BOARD OF LICENCING AND MEDICAL DISCIPLINE