Individual
JENNIFER RUIZ BOADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
HOSPITAL PEDIATRICO UNIVERSITARIO DR ANTONIO ORTIZ, CARRETERA 22 BARRIO MONACILLOS, CENTRO MEDICO, RIO PIEDRAS, PR 00935
(787) 474-0333
Mailing address
1506 AVE ASHFORD APT 602, SAN JUAN, PR 00911-1168
(787) 292-9994
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
21409
PR
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
21409
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21409
STATE MEDICAL LICENSE OF PUERTO RICO
PR
Enumeration date
09/08/2016
Last updated
05/21/2025
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