Basic Information
Provider Information
NPI: 1528320728
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARRIBAS-CRUZ
FirstName: RICARDO
MiddleName: LUIS
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 871 CALLE SGTO GERARDO SANTIAGO
Address2: CARRETERA #14 INTERIOR
City: AIBONITO
State: PR
PostalCode: 00705
CountryCode: US
TelephoneNumber: 7877142462
FaxNumber:  
Practice Location
Address1: CALLE SGTO GERARDO SANTIAGO
Address2: CARRETERA #14 INTERIOR
City: AIBONITO
State: PR
PostalCode: 00705
CountryCode: US
TelephoneNumber: 7877142462
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/13/2012
LastUpdateDate: 03/17/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X19339PRY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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