Active NPI
Vera Ruiz Family Medicine, CSP.
- Family Medicine Physician
- Moca, PR
National Provider Identifier
1073637310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| General Practice Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Physician
- Moca, PR
- NPI 1699774547
-
- Family Medicine Physician
- Moca, PR
- NPI 1811950710
-
- Family Medicine Physician
- Moca, PR
- NPI 1083742381
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.