Individual ProviderIvette Ruiz RodriguezGeneral PracticeAllopathic & Osteopathic PhysiciansPractice AddressHc 4 Box 47604, Hatillo, PR 00659-8452(787) 356-3073PECOS EnrollmentBased on the most recent information from CMS, provider Ivette Ruiz Rodriguez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1972736940Provider TypeIndividualFull NameRuiz Rodriguez, IvetteTitleDr.CredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date8/25/2009Last Updated8/25/2009Contact InformationPractice LocationPractice AddressHc 4 Box 47604, Hatillo, PR 00659-8452Phone(787) 356-3073FaxUnlisted FaxMailing LocationMailing AddressHc 4 Box 47604, Hatillo, PR 00659-8452Phone(787) 356-3073FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense17707Puerto Rico