Marta Ivelise Ruiz, OP
Technician/Technologist, Optician in Fajardo, PR. Individual provider (NPI-1).
NPI number1124867585
StatusActive
Last updated in NPPESMay 23, 2024
Details
- NPI
- 1124867585
- Entity type
- Individual (NPI-1)
- Name
- Marta Ivelise Ruiz
- Credential
- OP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 23, 2024
- Certification date
- May 23, 2024
- Last updated
- May 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | 1465 | PR | Yes |
Practice location
150 Carr 940 Ste 180Fajardo, PR 00738-3653
Phone 787-860-1050 · Fax 787-860-1111
Mailing address
150 Carr 940 Ste 180Fajardo, PR 00738-3653
Phone 787-860-1050 · Fax 787-860-1111
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