Provider Demographics
NPI:1649927997
Name:RUIZ, WILLIAM RODRIGUEZ (DC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:RODRIGUEZ
Last Name:RUIZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:B3 CALLE MARGINAL
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-3421
Mailing Address - Country:US
Mailing Address - Phone:787-319-5176
Mailing Address - Fax:
Practice Address - Street 1:B3 CALLE MARGINAL
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-3421
Practice Address - Country:US
Practice Address - Phone:787-319-5176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-07
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR839111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty