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Individual

MR. CARLOS EDUARDO ANTONIO RUIZ LUGO SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ENFERMERO RN, WCS

Contact information

Practice address
80 CABO ROJO, URB MANSIONES DE CABO ROJO PALMAS, CABO ROJO, PR 00623-8933
(787) 398-2164
(787) 255-1846
Mailing address
80 CABO ROJO, URB MANSIONES DE CABO ROJO PALMAS, CABO ROJO, PR 00623
(787) 398-2164
(787) 255-1846

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
075971
PR
163WE0003X
Emergency Registered Nurse
075971
PR
163WG0000X
General Practice Registered Nurse
075971
PR
163WW0000X
Wound Care Registered Nurse
Primary
078971
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
075971
PR
Enumeration date
03/06/2019
Last updated
06/11/2019
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