Provider Demographics
NPI:1891513032
Name:CANDELARIA RUIZ, SEBASTIAN ANDRES (MS)
Entity type:Individual
Prefix:
First Name:SEBASTIAN
Middle Name:ANDRES
Last Name:CANDELARIA RUIZ
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 CALLE PH HERNANDEZ
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-2025
Mailing Address - Country:US
Mailing Address - Phone:787-397-6371
Mailing Address - Fax:
Practice Address - Street 1:BO. RINCON SECTOR LAS LOMAS KM 3.1 CARR 14
Practice Address - Street 2:HOSPITAL MENONITA EN CAYEY
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00737
Practice Address - Country:US
Practice Address - Phone:787-535-1001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program