Active NPI
Ismael David Ruiz
- Registered Nurse
- Ponce, PR
National Provider Identifier
1063251841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 96114
- Practice address
- 8169 Calle Concordia Condominio San Vicente
Suite 412
Ponce, PR 00717 - Phone
- (787) 284-5884
- NPI assigned
- May 22, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 96114 | PR | Primary |
Addresses
Primary practice location
8169 Calle Concordia Condominio San Vicente
Suite 412
Ponce, PR 00717
Mailing address
8169 Calle Concordia Condominio San Vicente
Suite 412
Ponce, PR 00717
Phone (787) 284-5884
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 |
|---|---|---|---|
| 96114 | PR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1063251841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8169 CALLE CONCORDIA CONDOMINIO SAN VICENTE",
"address_2": "SUITE 412",
"city": "PONCE",
"state": "PR",
"postal_code": "00717",
"telephone_number": "787-284-5884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8169 CALLE CONCORDIA CONDOMINIO SAN VICENTE",
"address_2": "SUITE 412",
"city": "PONCE",
"state": "PR",
"postal_code": "00717",
"telephone_number": "787-284-5884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "ISMAEL",
"middle_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-22",
"last_updated": "2024-05-22",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PR",
"license": "96114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.