Doctor Name: | MS. VANESSA N. GOYES RUIZ |
NPI Number: | 1164809885 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 56 Franklin Street Waterbury, CT - 06706 |
Business Phone Number: | 2037098685 |
Business Fax Number: | |
Mailing Address: | 56 Franklin Street, WATERBURY |
State: | CT |
Postal Code: | 06706 |
Phone Number: | 2037098685 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2015 |
NPI Last Update Date: | 01/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 12/09/2015 |
NPI Reactivation Date: | 01/19/2016 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |