Provider Demographics
NPI:1356551725
Name:REMOLONA, HELEN RUIZ (MD)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:RUIZ
Last Name:REMOLONA
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 1:4701 MACCORKLE AVE SE
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25304-1950
Mailing Address - Country:US
Mailing Address - Phone:340-925-9300
Mailing Address - Fax:304-925-9287
Practice Address - Street 1:4701 MACCORKLE AVE SE
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-1950
Practice Address - Country:US
Practice Address - Phone:304-925-9300
Practice Address - Fax:304-925-9287
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV19580207L00000X
PAMD453428207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1356551725OtherNPI
WV5700552000Medicaid
PAMD453428OtherPA STATE LICENSE