Individual
MR. EDNIE JAFFED RUIZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
BO. JAGUEY CARR 411 KM 4.9, AGUADA, PR 00602-0060
(787) 624-9258
Mailing address
HC 60 BOX 15262, AGUADA, PR 00602-9268
(787) 624-9258
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14406
PR
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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