Organization Active NPI

Vera Ruiz Family Medicine, CSP.

  • Family Medicine Physician
  • Moca, PR
National Provider Identifier
1073637310
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VERA RUIZ FAMILY MEDICINE, CSP.
Practice address
125 Ave la Moca # KM3.0
Moca, PR 00676-4001
Phone
(787) 818-1266
Fax
(787) 877-3813
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Authorized official

Name
Dr. Jorge Vera Quinones, MD
Title
Secretario
Phone
(787) 818-1266

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X

Addresses

Primary practice location

125 Ave la Moca # KM3.0
Moca, PR 00676-4001

Mailing address

PO Box 6
Moca, PR 00676-0006
Phone (787) 818-1266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211222002673 PR Part B Supplier - Clinic/Group Practice 9931590122 Receives reassigned benefits from 2 practitioners
Practice locations: Mayaguez, PR; Moca, PR

National Provider Directory

National Provider Directory

Locations

125 Ave La Moca
#30
Moca, PR 00676
Phone (787) 818-1266

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1073637310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006760006",
            "telephone_number": "787-818-1266",
            "fax_number": "787-877-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 AVE LA MOCA # KM3.0",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006764001",
            "telephone_number": "787-818-1266",
            "fax_number": "787-877-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERA RUIZ FAMILY MEDICINE, CSP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "QUINONES",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "VERA",
        "authorized_official_title_or_position": "SECRETARIO",
        "authorized_official_telephone_number": "787-818-1266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moca, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.