Provider Demographics
NPI:1346950128
Name:RUIZ, ERIKA (PHARMD STUDENT)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:RUIZ
Suffix:
Gender:F
Credentials:PHARMD STUDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 336
Mailing Address - Street 2:
Mailing Address - City:AGUIRRE
Mailing Address - State:PR
Mailing Address - Zip Code:00704-0336
Mailing Address - Country:US
Mailing Address - Phone:787-586-5348
Mailing Address - Fax:
Practice Address - Street 1:COSTA AZUL P3 CALLE 26
Practice Address - Street 2:
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784
Practice Address - Country:US
Practice Address - Phone:787-586-5348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-01
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPI125592183500000X
FLPSI43236183500000X
PR390200000X
PR2501183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program