MRS. ILIA RUIZ-GANDULLA


Address: 1299 Carr. 844, Apt. 505 Cond. San Juan Towers, San Juan, PR 00926
Phone: 7877610264

MRS. ILIA RUIZ-GANDULLA (NPI# 1205072113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205072113
Entity Type Individual
Full Name MRS. ILIA RUIZ-GANDULLA
Credential MD
Practice Address 1299 Carr. 844
Apt. 505 Cond. San Juan Towers
San Juan
PR 00926
Practice Telephone 7877610264
Practice Fax Number 7877610264
Mailing Telephone 7877610264
Mailing Fax Number 7877610264
Enumeration Date 2008-12-23
Last Update Date 2008-12-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 3299 PR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PR NARCOTICS AR72247643 01
PR REG #98-004018 01
PR DM 027-70-6 01

Office Location

Street Address 1299 CARR. 844
APT. 505 COND. SAN JUAN TOWERS
City SAN JUAN
State PR
Zip Code 00926

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1366053811 Diana Paola Rivera Psychologist 706 Avenida Escorial, Caparra Heights, San Juan, PR 00926 2020-08-10
1831708437 Gymar M Vargas Student in an Organized Health Care Education/Training Program Urb La Utt, Calle Juan D Lefebres #10, San Juan, PR 00926 2020-07-29
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508328626 P R Ocular Solutions LLC Ophthalmology 1250 Ave Ponce De Leon # Of1009, San Juan, PR 00907-3949 2019-04-05
1528596897 Jab Ophthalmics, Psc Ophthalmology Ave De Diego 150 Suite 404, San Juan, PR 00907 2017-05-31
1457710014 Villegas LLC Ophthalmology 360 Calle Del Parque Suite 1, Ciudadela Suite 1, San Juan, PR 00912-0001 2016-02-11
1134593577 Jose Raul Montes Eyes & Facial Rejuvenation, LLC Ophthalmology 735 Ave. Ponce De Leon Suite 813, Torre Medica Auxilio Mutuo, San Juan, PR 00917 2015-11-23
1801277264 Natalia Cintron Rodriguez Ophthalmology 190090 Hato Rey Station, San Juan, PR 00919-0990 2015-06-11
1629465604 Advanced Glaucoma and Ophthalmology Services Ophthalmology 572 Ave Cesar Gonzalez, Hato Rey, San Juan, PR 00918 2015-04-17
1386036804 Astrid E. Gonzalez Ramos Ophthalmology Centro Medico De P R Barrio Monacillos, Dept. of Ophthalmology Rcm, San Juan, PR 00935 2015-02-19
1255683736 Dr. Jose G Matos Opthalmology Ophthalmology Hostos Ave.239, Ste 1202, San Juan, PR 00918-1477 2012-10-09
1194040410 Mariola Monagas Ophthalmology 1213 Calle Tomas Agrait, Club Manor, San Juan, PR 00924-4333 2010-03-30
1508017419 Mhb Ophthalmics, Psc Ophthalmology Ave De Diego 150 Esq. Baldorioty, Oficina 404 Sjhc, San Juan, PR 00907 2008-10-09
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City SAN JUAN
Zip Code 00926

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Dataset Information

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.

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