Provider Demographics
NPI:1356124028
Name:VILLARRUBIA RUIZ, NATYSHA YARIE
Entity type:Individual
Prefix:
First Name:NATYSHA
Middle Name:YARIE
Last Name:VILLARRUBIA RUIZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 3 BOX 33707
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-9743
Mailing Address - Country:US
Mailing Address - Phone:787-431-7724
Mailing Address - Fax:787-252-2424
Practice Address - Street 1:CARR 4416 BARRIO PIEDRAS BLANCAS
Practice Address - Street 2:
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602-9743
Practice Address - Country:US
Practice Address - Phone:787-431-7724
Practice Address - Fax:787-252-2424
Is Sole Proprietor?:No
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR93577163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse