Provider Demographics
NPI:1659163616
Name:CAEZ-RUIZ, YESMIN (LICENCIADA)
Entity type:Individual
Prefix:
First Name:YESMIN
Middle Name:
Last Name:CAEZ-RUIZ
Suffix:
Gender:F
Credentials:LICENCIADA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125-3 CALLE 72
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985-5312
Mailing Address - Country:US
Mailing Address - Phone:407-820-2625
Mailing Address - Fax:
Practice Address - Street 1:125-3 CALLE 72
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-5312
Practice Address - Country:US
Practice Address - Phone:407-820-2625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1409224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant