Provider Demographics
NPI:1538213996
Name:RUIZ ESPARZA Y PEREZ, YOLANDA MARGARITA DEL C (PHD)
Entity type:Individual
Prefix:DR
First Name:YOLANDA MARGARITA
Middle Name:DEL C
Last Name:RUIZ ESPARZA Y PEREZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:YOLANDA
Other - Middle Name:M
Other - Last Name:RUIZ ESPARZA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:PO BOX 2871
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-2871
Mailing Address - Country:US
Mailing Address - Phone:787-647-5445
Mailing Address - Fax:
Practice Address - Street 1:PLAZA CONSTANCIA SUITE 102
Practice Address - Street 2:CARR 2 KM 166.4 BO LAVADERO
Practice Address - City:HORMIGUEROS
Practice Address - State:PR
Practice Address - Zip Code:00660
Practice Address - Country:US
Practice Address - Phone:787-647-5445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1583103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist