Individual
JOSE RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
6124
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6124
SOCIAL WORKER, MSW
PR
Enumeration date
06/16/2011
Last updated
06/16/2011
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