Provider Demographics
NPI:1316118748
Name:CALIZ LOPEZ, RUTH
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:CALIZ LOPEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MUNOZ RIVERA 315
Mailing Address - Street 2:LABORATORIO CLINICO PENUELAS
Mailing Address - City:PENUELAS
Mailing Address - State:PR
Mailing Address - Zip Code:00624
Mailing Address - Country:US
Mailing Address - Phone:787-836-1660
Mailing Address - Fax:787-836-1660
Practice Address - Street 1:MUNOZ RIVERA 315
Practice Address - Street 2:LABORATORIO CLINICO PENUELAS
Practice Address - City:PENUELAS
Practice Address - State:PR
Practice Address - Zip Code:00624
Practice Address - Country:US
Practice Address - Phone:787-836-1660
Practice Address - Fax:787-836-1660
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3673246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0031635Medicare PIN