Provider Demographics
NPI:1992928758
Name:RUIZ, MARTA (MD)
Entity type:Individual
Prefix:
First Name:MARTA
Middle Name:
Last Name:RUIZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 VEREDA DEL RIO
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-8904
Mailing Address - Country:US
Mailing Address - Phone:787-784-8139
Mailing Address - Fax:
Practice Address - Street 1:2 VEREDA DEL RIO
Practice Address - Street 2:URB
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-8904
Practice Address - Country:US
Practice Address - Phone:787-784-8139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics