Individual
MR. EDWIN A MORA-RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
66 CALLE SANTA CRUZ, SUITE 503, BAYAMON, PR 00961-7041
(787) 740-1011
(787) 740-1008
Mailing address
PO BOX 9220, BAYAMON, PR 00960-9220
(787) 740-1011
(787) 740-1008
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
8838
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080001
MEDICARE PROVIDER
PR
Enumeration date
03/13/2007
Last updated
02/20/2013
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