Provider Demographics
NPI:1841252780
Name:MEDINA-RUIZ, ARTURO (MD)
Entity type:Individual
Prefix:DR
First Name:ARTURO
Middle Name:
Last Name:MEDINA-RUIZ
Suffix:
Gender:M
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:PO BOX 360755
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936
Mailing Address - Country:US
Mailing Address - Phone:787-781-6822
Mailing Address - Fax:787-781-6700
Practice Address - Street 1:1007 JESUS T PINERO AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:PUERTO NUEVO
Practice Address - State:PR
Practice Address - Zip Code:00920
Practice Address - Country:US
Practice Address - Phone:787-781-6822
Practice Address - Fax:787-781-6700
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3504207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
D08642Medicare UPIN
94205Medicare ID - Type Unspecified