| Doctor Name: | JOHANNA RUIZ |
| NPI Number: | 1134517790 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 1510 |
| Business Practice Address: | Hc 4 Box 43907 San Sebastian, PR - 006857427 |
| Business Phone Number: | 7879036644 |
| Business Fax Number: | |
| Mailing Address: | Hc 4 Box 43907, SAN SEBASTIAN |
| State: | PR |
| Postal Code: | 006857427 |
| Phone Number: | 7879036644 |
| Fax Number: | |
| NPI Enumeration Date: | 01/06/2015 |
| NPI Last Update Date: | 01/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2355S0801X |
| License Number: | 1510 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | Speech-Language Assistant |
| Taxonomy Definition: | |