Provider Demographics
NPI:1548009715
Name:CANTO RUIZ, DELZA O (TS)
Entity type:Individual
Prefix:
First Name:DELZA
Middle Name:O
Last Name:CANTO RUIZ
Suffix:
Gender:F
Credentials:TS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COND BOULEVARD DEL RIO 1 APT 3102
Mailing Address - Street 2:300 AVE LOS FILTROS
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00971
Mailing Address - Country:US
Mailing Address - Phone:787-396-7946
Mailing Address - Fax:
Practice Address - Street 1:COND BOULEVARD DEL RIO 1 APT 3102
Practice Address - Street 2:300 AVE LOS FILTROS
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00971
Practice Address - Country:US
Practice Address - Phone:787-396-7946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11511104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker