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Individual

GLADYS S RUIZ HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
CARR # 119 RAMAL 486 KM 2 HM 1 INTERIOR, BO. ZANJAS,CARR PIPO CRESPO,SECTOR VIEQUEZ, CAMUY, PR 00627-9102
(787) 602-7467
(787) 898-3438
Mailing address
HC 2 BOX 7274, CAMUY, PR 00627-9102
(787) 602-7467
(787) 898-3438

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1052
PR
225100000X
Physical Therapist
7035
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50437
PMC
01
825316
MMM
Enumeration date
07/14/2006
Last updated
03/28/2012
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