Ednie Jaffed Ruiz Sr., MS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14406 Issued in PR

Practice address

Bo. Jaguey Carr 411 KM 4.9
Aguada, PR 00602-0060

Phone

(787) 624-9258

NPI assigned

Oct 22, 2018

Sex

Male

Sole proprietor

Yes

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: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Evolution and Wellness Therapy Group LLC

  • Clinical Social Worker
  • Aguada, PR
  • NPI 1780548834
  Medicare reassignment NPD
• Innovus Therapy Group LLC

  • Speech-Language Pathologist
  • Aguada, PR
  • NPI 1205543881

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1124594726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 60 BOX 15262",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029268",
            "telephone_number": "787-624-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. JAGUEY CARR 411 KM 4.9",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006020060",
            "telephone_number": "787-624-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "EDNIE",
        "middle_name": "JAFFED",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "14406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruah Optical Gallery
• Alexis Joel Ruiz Cortes, PHARMD
• Vanessa I Ruiz Nunez, MD
• Ilianette Ruiz-Acevedo, M.D.
• Aiza Ruiz, R.N. BSN
• Heidy Limari Ruiz, MA
• Jose A Ruiz, D.M.D.
• Laneisha M Ruiz
• Marisabelle Ruiz, PHARM D
• Javier Concepcion Salas-Rivera, MD

• Clinical Social Worker in Aguada, PR
• Providers in Aguada, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.