Individual
DR. HIRAM ANTONIO RUIZ SANTIAGO II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1845 CARR 2 STE 907, BAYAMON MEDICAL PLZ, BAYAMON, PR 00959-7206
(787) 641-9585
(787) 641-9586
Mailing address
1845 CARR 2 STE 907, BAYAMON MEDICAL PLZ, BAYAMON, PR 00959-7206
(787) 641-9585
(787) 641-9586
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
12825
PR
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
12825
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26193
MEDICARE NUMBER-RCM
PR
Enumeration date
10/19/2005
Last updated
05/29/2015
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