Individual provider Active NPI

Silvio R Martinez Ruiz, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1073500096
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
13682 Issued in PR
Practice address
700 Calle Dr Pavia Fernandez
Suite 205
San Juan, PR 00909-2758
Phone
(787) 982-5328
Fax
(787) 982-3822
NPI assigned
Oct 4, 2005
Last updated
Nov 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 13682 PR Primary

Addresses

Primary practice location

700 Calle Dr Pavia Fernandez
Suite 205
San Juan, PR 00909-2758

Mailing address

Dr Pavia St # 700
205
San Juan, PR 00909
Phone (787) 982-5328

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
I20050721000883 PR Practitioner - General Practice 1850328717 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

700 Calle Dr Pavia Fernandez
Suite 205
San Juan, PR 00909-2756
Phone (787) 982-5328

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13682PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Center Hospital San Juan Past Accepting new patients

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1073500096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DR PAVIA ST # 700",
            "address_2": "205",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-982-5328",
            "fax_number": "787-982-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CALLE DR PAVIA FERNANDEZ",
            "address_2": "SUITE 205",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092758",
            "telephone_number": "787-982-5328",
            "fax_number": "787-982-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ RUIZ",
        "first_name": "SILVIO",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.