Individual
IVAN RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
983 CALLE MADRID, APT 28 URB. SANTA RITA, SAN JUAN, PR 00925-2647
(787) 641-7582
Mailing address
983 CALLE MADRID APT 28, URB SANTA RITA, SAN JUAN, PR 00925-0092
(787) 641-7582
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1069648
PR
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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