Provider Demographics
NPI:1073637310
Name:VERA RUIZ FAMILY MEDICINE, CSP.
Entity type:Organization
Organization Name:VERA RUIZ FAMILY MEDICINE, CSP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARIO
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:VERA
Authorized Official - Last Name:QUINONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-818-1266
Mailing Address - Street 1:PO BOX 6
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676-0006
Mailing Address - Country:US
Mailing Address - Phone:787-818-1266
Mailing Address - Fax:787-877-3813
Practice Address - Street 1:125 AVE LA MOCA # KM3.0
Practice Address - Street 2:
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676-4001
Practice Address - Country:US
Practice Address - Phone:787-818-1266
Practice Address - Fax:787-877-3813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty