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Individual

DR. CARMEN SANTIAGO DE RUIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
VILLA MARIA B-1, MANATI, PR 00674-4924
(787) 854-5473
(787) 854-3939
Mailing address
PO BOX 84, MANATI, PR 00674-0084
(787) 854-5473
(787) 854-3939

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5218
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5218
LICENSE
PR
Enumeration date
03/14/2007
Last updated
03/22/2017
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