DR. POLLY A RUIZ SANTIAGO (NPI# 1023057577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023057577 |
Entity Type | Individual |
Full Name | DR. POLLY A RUIZ SANTIAGO |
Credential | MD |
Practice Address |
20 Urb Catalana Barceloneta PR 00617-2774 |
Mailing Address |
20 Urbanizacion Catalana Barceloneta PR 00617 |
Practice Telephone | 7878465553 |
Practice Fax Number | 7878545543 |
Mailing Telephone | 7878465553 |
Mailing Fax Number | 7878545553 |
Enumeration Date | 2006-06-06 |
Last Update Date | 2020-04-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | 14036 | PR | Other Service Providers |
Y | 208D00000X | General Practice | 14036 | PR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PR | DEA | BR7587085 | 01 |
PR | LICENSE | 14036 | 01 |
PR | SAMSA | XR7587085 | 01 |
PR | ASSMCA | DM-14205-9 | 01 |
Street Address |
20 URB CATALANA |
City | BARCELONETA |
State | PR |
Zip Code | 00617-2774 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437265410 | D'corpo | Psychiatry & Neurology | 20 Urb Catalana, Barceloneta, PR 00617-2774 | 2006-08-22 |
1871606848 | Javier Rodriguez | Psychologist | 20 Urb Catalana, Barceloneta, PR 00617-2774 | 2006-08-16 |
1124131107 | Lizzedia M Santana | Psychologist | 20 Urb Catalana, Barceloneta, PR 00617-2774 | 2006-08-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679170526 | Mirchelise Colon | Speech-Language Pathologist | Rb Catalana Edificio Comercial Local 1 Calle G, Barceloneta, PR 00617 | 2020-10-05 |
1336746593 | Jomary Carreras Santiago | Psychologist | Sector Los Mendez Carr 682 Km 3.9 Int, Barceloneta, PR 00617 | 2020-10-01 |
1730790668 | Cindy Janet Adorno-rivera | Student in an Organized Health Care Education/Training Program | Carr 2 Km 140, Barceloneta, PR 00617 | 2020-08-13 |
1952910507 | Janetsy Feliciano Pagan | Speech-Language Pathologist | 26 Calle Carmelo Colon Medina Magueyes, Barceloneta, PR 00617 | 2020-07-29 |
1598390338 | Greisa Marie Ramos | Psychologist | Carr. 140 Km 1.9 Bo. Magueyes, Barceloneta, PR 00617 | 2020-03-11 |
1801429014 | Monica Rosado | Student in an Organized Health Care Education/Training Program | Calle 3 G22 Urb Cataluna, Barceloneta, PR 00617 | 2020-02-16 |
1699315135 | Natalie Nicole Feliciano Zayas | Pharmacist | Carr. 140 Km 63.4, Bo. Magueyes, Barceloneta, PR 00617 | 2020-01-13 |
1609417377 | Omary Charlotte Rodriguez | Specialist/Technologist | 90 Calle Maricao, Barceloneta, PR 00617 | 2019-10-03 |
1184275232 | Carmen Milagros Velazquez | Technician | Q6 Calle Estrella Del Mar, Isla De Roque Estate, Barceloneta, PR 00617 | 2019-09-20 |
1104473735 | Farmacia Jurilda | Pharmacy | 1 Calle Tomas Davila Martinez, Barceloneta, PR 00617 | 2019-08-19 |
Find all providers in zip 00617 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588076350 | Elizabeth Guzman | General Practice | 251 Estancias De Imbery, Barceloneta, PR 00617-9723 | 2014-05-28 |
1053641902 | Aitzamar Ramos Rivera | General Practice | Calle Georgetti Int.calle Obrero C-8, Edificio Marina II Carr 140 Km 68.5, Barceloneta, PR 00617 | 2009-12-28 |
1255459004 | Glenda Omayra Davila | General Practice | Calle 9 Buzon 10, Bo. Magueyes, Barceloneta, PR 00617-0822 | 2007-03-27 |
1750394078 | Sasha Mara Gonzalez | General Practice | Barceloneta Prime Outlets Carr.#2 Km. 54.6, Interseccion Carr. 140, Bo. Manati Abajo, Barceloneta, PR 00617 | 2006-08-15 |
1831108794 | Waleska Vargas Oliveras | General Practice | Carr. 140 Bo Llanadas, Barceloneta, PR 00617 | 2006-08-07 |
1811937188 | Herminio Mendez | General Practice | Carr #2, Cruce Davila, Barceloneta, PR 00617-2045 | 2006-06-07 |
1659330983 | Rafael Toledo | General Practice | 65 Street C Urb Catalana, Barceloneta, PR 00617-0000 | 2006-03-23 |
1720056799 | Yonathan Rivera | General Practice | St. Tomas Davila #1, Barceloneta, PR 00617 | 2006-03-08 |
1710977277 | Milvia Laureano | General Practice | 5 Carr 140, Bo. Magueyes, Barceloneta, PR 00617-2806 | 2005-10-26 |
1740278449 | Ana I. Otero | General Practice | Carr. No. 2 Km 57.2 Cruce Davila, Barceloneta, PR 00617-1924 | 2005-10-07 |
Find all providers in BARCELONETA |
City | BARCELONETA |
Zip Code | 00617 |
Please comment or provide details below to improve the information on DR. POLLY A RUIZ SANTIAGO.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.