Provider Demographics
NPI:1689681017
Name:RUIZ RAMOS, JUAN ALBERTO (MD)
Entity type:Individual
Prefix:DR
First Name:JUAN
Middle Name:ALBERTO
Last Name:RUIZ RAMOS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:JUAN
Other - Middle Name:A
Other - Last Name:RUIZ-RAMOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 507
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-0507
Mailing Address - Country:US
Mailing Address - Phone:787-269-1980
Mailing Address - Fax:
Practice Address - Street 1:1845 CARR 2 STE 606
Practice Address - Street 2:CARR. NUM 2 KM. 11.7
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-7204
Practice Address - Country:US
Practice Address - Phone:787-269-1980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9880207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E50973Medicare UPIN