Provider Demographics
NPI:1891754990
Name:RUIZ-SOLER, DANIEL ALFONSO (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ALFONSO
Last Name:RUIZ-SOLER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1217 CALLE DON QUIJOTE
Mailing Address - Street 2:COSTA CARIBE RESORT
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-2020
Mailing Address - Country:US
Mailing Address - Phone:787-504-8229
Mailing Address - Fax:787-843-4362
Practice Address - Street 1:STREET NUM 149 KM 63.8
Practice Address - Street 2:EDIFICIO CRUZ SUITE 4 BO GUAYABAL
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795
Practice Address - Country:US
Practice Address - Phone:787-837-5577
Practice Address - Fax:787-837-5577
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR13922207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR13922OtherLICENCIA
PR13922OtherLICENCIA
PR002-2625Medicare ID - Type UnspecifiedNUMERO DE PROVEEDOR