Provider Demographics
NPI:1548965817
Name:BARBOSA RUIZ, ARIEL ENRIQUE
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:ENRIQUE
Last Name:BARBOSA RUIZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. PRECIOSA, CALLE VERDE LUZ, BUZON #13
Mailing Address - Street 2:
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778-5162
Mailing Address - Country:US
Mailing Address - Phone:787-215-3539
Mailing Address - Fax:
Practice Address - Street 1:UPR SOM-MSC, GUILLERMO ARBONA BUILDING, MEDICAL CENTER,
Practice Address - Street 2:RIO PIEDRAS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936
Practice Address - Country:US
Practice Address - Phone:787-215-3539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program