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Individual

CARMEN J RUIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
CARR 497 KM 2, BO POZAS, SAN SEBASTIAN, PR 00685
(787) 649-4251
Mailing address
HC 5 BOX 54488, SAN SEBASTIAN, PR 00685-5806
(787) 649-4251

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14732
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14732
ASSMCA
PR
05
MEDICAID
PR
Enumeration date
07/23/2021
Last updated
07/23/2021
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