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Individual

DR. POLLY A RUIZ SANTIAGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
20 URB CATALANA, BARCELONETA, PR 00617-2774
(787) 846-5553
(787) 854-5543
Mailing address
20 URBANIZACION CATALANA, BARCELONETA, PR 00617
(787) 846-5553
(787) 854-5553

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
14036
PR
208D00000X
General Practice Physician
Primary
14036
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14036
LICENSE
PR
01
DM-14205-9
ASSMCA
PR
01
XR7587085
SAMSA
PR
Enumeration date
06/06/2006
Last updated
03/07/2023
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