Active NPI
Jose Ruiz, MSW
- Substance Abuse Rehabilitation Facility
- Bayamon, PR
National Provider Identifier
1023303187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 6124
- Practice address
- Road 830 KM 3.3, Sec. Ortega, Bo. Cerro Gordo
Bayamon, PR 00960 - Phone
- (787) 562-3749
- NPI assigned
- Jun 16, 2011
- Last updated
- Jun 16, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 6124 | PR | Primary |
Addresses
Primary practice location
Road 830 KM 3.3, Sec. Ortega, Bo. Cerro Gordo
Bayamon, PR 00960
Mailing address
Road 830 KM 3.3, Sec. Ortega, Bo. Cerro Gordo
Bayamon, PR 00960
Phone (787) 562-3749
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6124 | Other | PR | SOCIAL WORKER, MSW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6124 | PR | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308182400000",
"number": "1023303187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ROAD 830 KM 3.3, SEC. ORTEGA, BO. CERRO GORDO",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00960",
"telephone_number": "787-562-3749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ROAD 830 KM 3.3, SEC. ORTEGA, BO. CERRO GORDO",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00960",
"telephone_number": "787-562-3749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "JOSE",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-16",
"last_updated": "2011-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "PR",
"license": "6124",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORKER, MSW",
"identifier": "6124",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.