Basic Information
| Provider Information | |||||||||
| NPI: | 1851644835 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | POLICLINICA DR RIBOT RUIZ CSP | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 800 | ||||||||
| Address2: | |||||||||
| City: | CAROLINA | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009860800 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877763840 | ||||||||
| FaxNumber: | 7872762923 | ||||||||
| Practice Location | |||||||||
| Address1: | CARR 857 KM 0.4 BO CANOVANILLAS | ||||||||
| Address2: | |||||||||
| City: | CAROLINA | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009870000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877763840 | ||||||||
| FaxNumber: | 7872762923 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/16/2012 | ||||||||
| LastUpdateDate: | 07/02/2013 | ||||||||
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| AuthorizedOfficialLastName: | RIBOT RUIZ | ||||||||
| AuthorizedOfficialFirstName: | SALVADOR | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7877763840 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 5526 | PR | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | 208D00000X | 15973 | PR | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | General Practice | 208D00000X | 14652 | PR | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | General Practice | 208D00000X | 10085 | PR | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | General Practice |
No ID Information.