Individual
FEDERICO RUIZ NICOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1521 CALLE ESPADACHIN, EL LEGADO GOLF RESORT, APT 1521, GUAYAMA, PR 00784
(971) 208-8359
Mailing address
10470 SW CLYDESDALE PL, TIGARD, OR 97223-5251
(971) 208-8359
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22574
PR
Other
Enumeration date
11/19/2021
Last updated
11/22/2021
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