Individual provider Active NPI

Brenda M Ruiz

  • General Practice Physician
  • Quebradillas, PR
National Provider Identifier
1144258245
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15675 Issued in PR
Practice address
Calle Munoz Rivera Esquina San Justo
Quebradillas, PR 00678
Phone
(787) 895-2670
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15675 PR Primary

Addresses

Primary practice location

Calle Munoz Rivera Esquina San Justo
Quebradillas, PR 00678

Mailing address

Brisas de Anasco Calle 10 GG-14 Anasco
P.O.Box 486 Anasco
Anasco, PR 00610-0486
Phone (787) 826-2347

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
I20050324000922 PR Practitioner - General Practice 0042266884 Reassigns benefits to 1 organization
Practice locations: Quebradilla, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15675PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Prymed Medical Care Inc CurrentSince Jul 29, 2022 Accepting new patients
Prymed Medical Care, Inc CurrentSince Jul 29, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245801600000",
    "number": "1144258245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BRISAS DE ANASCO CALLE 10 GG-14 ANASCO",
            "address_2": "P.O.BOX 486 ANASCO",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006100486",
            "telephone_number": "787-826-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MUNOZ RIVERA ESQUINA SAN JUSTO",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "00678",
            "telephone_number": "787-895-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "BRENDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2009-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quebradillas, PR

Sources for this page

Verify at the official NPI Registry.