Provider Demographics
NPI:1538897285
Name:RUIZ BARNECETT, GABRIELA MICHELLE (MS, RDN, LDN)
Entity type:Individual
Prefix:
First Name:GABRIELA
Middle Name:MICHELLE
Last Name:RUIZ BARNECETT
Suffix:
Gender:F
Credentials:MS, RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 AVE CARLOS CHARDON APT 137
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-1721
Mailing Address - Country:US
Mailing Address - Phone:787-439-9226
Mailing Address - Fax:
Practice Address - Street 1:EDIFICIO 36 CALLE BARBOSA
Practice Address - Street 2:ESQUINA ROSSY
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960
Practice Address - Country:US
Practice Address - Phone:787-269-6590
Practice Address - Fax:787-269-6599
Is Sole Proprietor?:No
Enumeration Date:2022-08-10
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR133V00000X
PR2215133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered