Individual provider Active NPI

Milton Ruiz, DMD

  • Dentist
  • Pembroke Pines, FL
National Provider Identifier
1033288063
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN13346 Issued in FL
Practice address
1541 N Palm Ave
Pembroke Pines, FL 33026-3229
Phone
(954) 432-6133
Fax
(954) 432-8989
NPI assigned
Nov 6, 2006
Last updated
Feb 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 13346 FL
Dentist 122300000X DN13346 FL Primary

Addresses

Primary practice location

1541 N Palm Ave
Pembroke Pines, FL 33026-3229

Mailing address

1541 N Palm Ave
Pembroke Pines, FL 33026-3229
Phone (954) 432-6133

Other identifiers 1

IdentifierTypeStateIssuer
071451801MedicaidFL

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

LicenseStateTypeSpecialty
DN13346FLMDDentist
13346FLMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Pines Dental Associates Inc Durable Medical Equipment & Medical Supplies Current Accepting new patients
Carlos a Llapur DMD, PA PastSince Sep 14, 2025 Accepting new patients

Locations

1541 N Palm Ave
Pembroke Pines, FL 33026
Phone (954) 432-6133

Networks

  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1033288063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 N PALM AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263229",
            "telephone_number": "954-432-6133",
            "fax_number": "954-432-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 N PALM AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263229",
            "telephone_number": "954-432-6133",
            "fax_number": "954-432-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "MILTON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "13346",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071451801",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.