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Individual
LOURDES CARRERO-RUIZ
Active
Individual
LOURDES CARRERO-RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
10482
PR
208D00000X
General Practice Physician
Primary
ACN117
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003953400
—
FL
01
—
IZ052X
MEDICARE
FL
Enumeration date
04/17/2006
Last updated
12/02/2020
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