Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 19189 | PR |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 19189 | NY |
NPI | 1265805295 |
---|---|
Provider Name | Dr. Victor Ruiz-Garcia |
First Address | Mayaguez, PR 00681 |
Second Address | Mayaguez, PR 00680 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2015 |
Last Update Date | 27/07/2021 |