Individual
IVETTE RODRIGUEZ-RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
BAYAMON MEDICAL PLAZA, SUITE 502, BAYAMON, PR 00959
(787) 798-3194
(787) 740-0686
Mailing address
C/4 D8 EL MIRADOR DE CUPEY, SAN JUAN, PR 00926
(787) 748-6835
(787) 740-0686
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
6451
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97810
SSS
—
01
—
N295
INTERIATICHA IMC
—
Enumeration date
10/10/2006
Last updated
07/08/2007
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