Individual
DR. HIRAM ANTONIO RUIZ SANTIAGO II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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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