Individual
LYANNE RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
22 CALLE 25 DE JULIO, GUANICA, PR 00653-2110
(787) 821-5222
Mailing address
22 CALLE 25 DE JULIO, GUANICA, PR 00653-2110
(787) 821-5222
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/16/2017
Last updated
09/05/2018
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