Provider Demographics
NPI:1952412918
Name:RUIZ, YELITZA (MD)
Entity Type:Individual
Prefix:
First Name:YELITZA
Middle Name:
Last Name:RUIZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 PASEO SAN PABLO
Mailing Address - Street 2:EDIF ARTURO CADILLA SUITE 510
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-7019
Mailing Address - Country:US
Mailing Address - Phone:787-780-2830
Mailing Address - Fax:787-786-8281
Practice Address - Street 1:100 PASEO SAN PABLO
Practice Address - Street 2:EDIF ARTURO CADILLA SUITE 510
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-7019
Practice Address - Country:US
Practice Address - Phone:787-780-2830
Practice Address - Fax:787-786-8281
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR15917207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine