| Doctor Name: | DARMIZ E MANGUAL RUIZ |
| NPI Number: | 1215084777 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY D |
| License Number: | 2760 |
| Business Practice Address: | 18 Baldorioty Local 4 Yauco, PR - 00698 |
| Business Phone Number: | 7872676067 |
| Business Fax Number: | 7872504498 |
| Mailing Address: | 373 Citadel, Repto Universitario RIO PIEDRAS |
| State: | PR |
| Postal Code: | 00926 |
| Phone Number: | 7872676067 |
| Fax Number: | 7872504498 |
| NPI Enumeration Date: | 01/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2760 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |