Individual
DR. JORGE L PENA RUIZ I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CALLE ARZUAGA #112 RIO PIEDRAS, SAN JUAN, PR 00925
(787) 767-8758
(844) 759-2967
Mailing address
URB.LAS SERRANIA, CALLE MADRIGAL #4, CAGUAS, PR 00725
(787) 376-8930
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
1992867857
PR
208000000X
Pediatrics Physician
Primary
8626
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37720900
—
PR
05
—
80393
—
PR
Enumeration date
12/15/2006
Last updated
09/20/2022
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