| Doctor Name: | JOSE RUIZ |
| NPI Number: | 1023303187 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW |
| License Number: | 6124 |
| Business Practice Address: | Road 830 Km 3.3, Sec. Ortega, Bo. Cerro Gordo Bayamon, PR - 00960 |
| Business Phone Number: | 7875623749 |
| Business Fax Number: | |
| Mailing Address: | Road 830 Km 3.3, Sec. Ortega, Bo. Cerro Gordo, BAYAMON |
| State: | PR |
| Postal Code: | 00960 |
| Phone Number: | 7875623749 |
| Fax Number: | |
| NPI Enumeration Date: | 06/16/2011 |
| NPI Last Update Date: | 06/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 324500000X |
| License Number: | 6124 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Residential Treatment Facilities |
| Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |