Provider Demographics
NPI:1699752519
Name:RUIZ, CARLOS E (MD)
Entity type:Individual
Prefix:
First Name:CARLOS
Middle Name:E
Last Name:RUIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB GARDEN HILL NORTE
Mailing Address - Street 2:J2 CALLE CLUB DRIVE
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966
Mailing Address - Country:US
Mailing Address - Phone:787-528-0937
Mailing Address - Fax:
Practice Address - Street 1:150 AVE DE DIEGO STE 300
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-2322
Practice Address - Country:US
Practice Address - Phone:787-729-0606
Practice Address - Fax:787-729-4242
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-30
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13406207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology