Provider Demographics
NPI:1144298688
Name:RUIZ, SAMUEL (MD)
Entity type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:
Last Name:RUIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EDIF MEDICO SANTA CRUZ
Mailing Address - Street 2:SANTA CRUZ STREET SUITE 414
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-6910
Mailing Address - Country:US
Mailing Address - Phone:787-778-4558
Mailing Address - Fax:787-780-4868
Practice Address - Street 1:EDIF MEDICO SANTA CRUZ
Practice Address - Street 2:SANTA CRUZ STREET SUITE 414
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-6910
Practice Address - Country:US
Practice Address - Phone:787-778-4558
Practice Address - Fax:787-780-4868
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-10
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR9403174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist