Individual provider Active NPI

Wanda E Velez Ruiz, MD

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1023123858
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19619 Issued in PR
Practice address
550 Calle Sergio Cuevas Bustamante
San Juan, PR 00918
Phone
(787) 763-5560
Fax
(787) 767-6600
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X WVR045752 MI
Internal Medicine Physician 207R00000X 19619 PR Primary

Addresses

Primary practice location

550 Calle Sergio Cuevas Bustamante
San Juan, PR 00918

Mailing address

550 Calle Sergio Cuevas Bustamante
San Juan, PR 00918
Phone (313) 843-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190912000521 PR Practitioner - Internal Medicine 4183953490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University Central del Caribe Escuela de Medicina, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asociacion de Maestros de P RGroup PAC ID 4082781679, 9 clinicians

Practice addresses (Care Compare)

550 Calle Sergio Cuevas Bustamante
San Juan, PR 00918-2683
Phone (787) 763-5560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
WVR045752MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asociacion de Maestros de P R CurrentSince Jun 18, 2019 Accepting new patients
Care First Occupational & Rehab Inc. Past Accepting new patients

Locations

158 Calle Ramos Antonini E
Mayaguez, PR 00680
Phone (787) 831-3130

550 Calle Cuevas Bustamante
San Juan, PR 00918
Phone (787) 209-7233

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1023123858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 CALLE SERGIO CUEVAS BUSTAMANTE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "313-843-8400",
            "fax_number": "313-843-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CALLE SERGIO CUEVAS BUSTAMANTE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-763-5560",
            "fax_number": "787-767-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ RUIZ",
        "first_name": "WANDA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "WVR045752",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "19619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.