| Doctor Name: | DR. ALEX CONCEPCION RUIZ |
| NPI Number: | 1124237060 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 16749 |
| Business Practice Address: | Barrio Buena Vista Carr 167 Km133 Sec 9 Bayamon, PR - 00956 |
| Business Phone Number: | 7873623863 |
| Business Fax Number: | |
| Mailing Address: | Rr 12 Box 10385, BAYAMON |
| State: | PR |
| Postal Code: | 009569813 |
| Phone Number: | 7873623863 |
| Fax Number: | |
| NPI Enumeration Date: | 05/21/2007 |
| NPI Last Update Date: | 04/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 16749 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |