Provider Demographics
NPI:1700299302
Name:RUIZ RODRIGUEZ, MELISSA MAITE (MD)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:MAITE
Last Name:RUIZ RODRIGUEZ
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 1:101 AVE SAN PATRICIO STE 1260
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00968-3059
Mailing Address - Country:US
Mailing Address - Phone:787-272-2010
Mailing Address - Fax:787-781-0671
Practice Address - Street 1:101 AVE SAN PATRICIO STE 1260
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968-3059
Practice Address - Country:US
Practice Address - Phone:787-272-2010
Practice Address - Fax:787-781-0671
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-11
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19572207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine