Individual
MRS. GLADYS RUIZ RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A
Contact information
Practice address
CARRETERA 970 KIM 3.3 BAJA BO MAIZALES, NAGUABO, PR 00718-9745
(787) 672-6542
Mailing address
HC 1 BOX 4148, MAIZALES, NAGUABO, PR 00718-9745
(787) 672-6542
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00463
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
463
LICENCE
PR
Enumeration date
09/26/2007
Last updated
09/26/2007
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