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Individual

EDITHMAR GUSTAVO RUIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LND,MPH

Contact information

Practice address
606 AVE TITO CASTRO, LA RAMBLA PLAZA SUITE 135, PONCE, PR 00716-0205
(787) 840-6838
(787) 842-6838
Mailing address
2707 CALLE DON DIEGO, VILLA FLORES, PONCE, PR 00716-2921
(787) 671-8676
(787) 651-6339

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1400
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001400
LICENCES
PR
Enumeration date
05/29/2007
Last updated
09/09/2014
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