Juan Pablo Ruiz-Valle, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

18124 Issued in PR

Practice address

Carr 111 KM 1.9 Ave. Los Patriotas
Lares, PR 00669

Phone

(787) 897-2727

NPI assigned

Dec 28, 2010

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

General Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centro de Salud de Lares IncGroup PAC ID 0840272985, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Centro de Salud de Lares, Inc

  dba Centro Integrados de Servicios de Salud

  • Federally Qualified Health Center (FQHC)
  • Quebradillas, PR
  • NPI 1235179532
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1073817425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 414",
            "city": "RINCON",
            "state": "PR",
            "postal_code": "006770414",
            "telephone_number": "361-779-2235",
            "fax_number": "787-897-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 111 KM 1.9 AVE. LOS PATRIOTAS",
            "city": "LARES",
            "state": "PR",
            "postal_code": "00669",
            "telephone_number": "787-897-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Bo Calvache Car 115 km 9.2 int,00677",
            "address_purpose": "LOCATION",
            "city": "Rincon",
            "state": "PR",
            "postal_code": "006770414",
            "country_code": "US",
            "telephone_number": "939-209-2660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ-VALLE",
        "first_name": "JUAN",
        "middle_name": "PABLO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose A. Romero Carrero
• Reyniel Romero Perez, PHARMD
• Juan Rosado Valentin, DMD
• Isabel Ruiz Cruz
• Luis Carlos Ruiz Torres, RN, BSN
• Melany Ruiz, PH.D
• Myrta E. Ruiz, PHARMACY THECNICIA
• Felix Antonio Rullan
• San Gerardo Imaging Center, Inc.
• San Gerardo Medical Center CSP

• General Practice Physician in Lares, PR
• Providers in Lares, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.