Provider Demographics
NPI:1598158636
Name:RUIZ, ZORAIDA (PROFESSOR)
Entity type:Individual
Prefix:
First Name:ZORAIDA
Middle Name:
Last Name:RUIZ
Suffix:
Gender:F
Credentials:PROFESSOR
Other - Prefix:PROF
Other - First Name:ZORAIDA
Other - Middle Name:
Other - Last Name:RUIZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PROFESSOR
Mailing Address - Street 1:LOIZA VALLEY SHOPPING CENTER, LOCAL AA-7
Mailing Address - Street 2:CENTRO DE ORIENTACION Y AYUDA PSIQUIATRICA INC.
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729
Mailing Address - Country:US
Mailing Address - Phone:787-648-4863
Mailing Address - Fax:787-876-7856
Practice Address - Street 1:LOIZA VALLEY SHOPPING CENTER, LOCAL AA-7
Practice Address - Street 2:CENTRO DE ORIENTACION Y AYUDA PSIQUIATRICA INC.
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729
Practice Address - Country:US
Practice Address - Phone:787-648-4863
Practice Address - Fax:787-876-7856
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-13
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR981337174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator