Individual provider Active NPI

Ruth Noemi Maisonet, MD

  • Obstetrics & Gynecology Physician
  • San Juan, PR
National Provider Identifier
1104901099
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
12585 Issued in PR
Practice address
C/Rvdo Domingo Marrero Navarro Num 4
Urb Sta Rita
San Juan, PR 00925
Phone
(787) 765-2003
Fax
(787) 282-0869
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 12585 PR Primary

Addresses

Primary practice location

C/Rvdo Domingo Marrero Navarro Num 4
Urb Sta Rita
San Juan, PR 00925

Mailing address

PMB 327 PO Box 70344
San Juan, PUERTO RICO 00936-8344
UM
Phone (787) 292-0424

Other names 1

  • Dr. Ruth N. Maisonet Professional name

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
I20181017001505 PR Practitioner - Obstetrics/Gynecology 6507118601

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University Central del Caribe Escuela de Medicina, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Rvdo Domingo Marrero Navarro
4 Urb Sta Rita
San Juan, PR 00925

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12585PRMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104901099",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "PMB 327 PO BOX 70344",
            "city": "SAN JUAN",
            "state": "PUERTO RICO",
            "postal_code": "009368344",
            "telephone_number": "787-292-0424",
            "fax_number": "787-282-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C/RVDO DOMINGO MARRERO NAVARRO NUM 4",
            "address_2": "URB STA RITA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00925",
            "telephone_number": "787-765-2003",
            "fax_number": "787-282-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAISONET",
        "first_name": "RUTH",
        "middle_name": "NOEMI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "12585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "MAISONET",
            "middle_name": "N.",
            "prefix": "DR.",
            "credential": "MDF.A.C.OG.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.