Mr Ednie Jaffed Ruiz Sr, MS | |
Bo. Jaguey Carr 411 Km 4.9, Aguada, PR 00602-0060 | |
(787) 624-9258 | |
Not Available |
Full Name | Mr Ednie Jaffed Ruiz Sr |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | Bo. Jaguey Carr 411 Km 4.9, Aguada, Puerto Rico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1124594726 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 14406 (Puerto Rico) | Primary |
Entity Name | Innovus Therapy Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205543881 PECOS PAC ID: 7315311750 Enrollment ID: O20230324002716 |
Mailing Address | Practice Location Address |
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Mr Ednie Jaffed Ruiz Sr, MS Hc 60 Box 15262, Aguada, PR 00602-9268 Ph: (787) 624-9258 | Mr Ednie Jaffed Ruiz Sr, MS Bo. Jaguey Carr 411 Km 4.9, Aguada, PR 00602-0060 Ph: (787) 624-9258 |
Mei Ling Perez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Bo Naranjo Arriba Carr 416 Km 7.1, Aguada, PR 00602 Phone: 787-371-8842 | |
Ms. Carmen Ivette Mendez, LIC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Urb Ext Jardines #36, Aguada, PR 00602 Phone: 787-627-9524 | |
Mariangely Segui Aviles, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: Calle Colon #4 Carr. 115 Km. 24.5, Edif. Aguada Complex 2do Piso Suite 5, Aguada, PR 00602 Phone: 787-609-6555 | |
Nadya Alexandra Rodriguez Irizarry, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Pr-411 Km 0.9 Ave. Nativo Alers, Edificio Magnolia Suite 1, Aguada, PR 00602 Phone: 787-214-2952 | |
Mrs. Michelle Linaris Lorenzo Gonzalez, MD Clinical Social Worker Medicare: Medicare Enrolled Practice Location: Carr 411 Km 5.9, Aguada, PR 00602 Phone: 939-286-7050 | |
Johanna Vargas, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Bo. Malpaso Carr 417 Km 2.3, Aguada, PR 00602 Phone: 787-501-3222 |