Individual
DEBORAH ZOE CRUZ RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2213 PONCE BY PASS, PONCE, PR 00717
(787) 840-8686
Mailing address
HC 1 BOX 16803, AGUADILLA, PR 00603
(787) 685-2188
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1388-PA
PR
390200000X
Student in an Organized Health Care Education/Training Program
15733-I
PR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
36827-R
PR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/14/2021
Last updated
04/29/2024
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