NPIMap

Individual provider Active NPI

Vincent Ruiz

  • Medical Physician Assistant
  • Albuquerque, NM
National Provider Identifier
1144474552
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA2008-0060 Issued in NM
Practice address
1209 University Blvd NE
Albuquerque, NM 87102-1727
Phone
(505) 272-4400
Fax
(505) 925-7662
NPI assigned
Nov 12, 2008
Last updated
Mar 22, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA2008-0060 NM Primary

Addresses

Primary practice location

1209 University Blvd NE
Albuquerque, NM 87102-1727

Mailing address

933 Bradbury Dr SE
Suite 2222
Albuquerque, NM 87106-4374
Phone (505) 272-3120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100525000718 NM Practitioner - Physician Assistant 3375672678 Reassigns benefits to 2 organizations
I20250626003799 TX Practitioner - Physician Assistant 3375672678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut East Texas Urgent Care Centers, PLLCGroup PAC ID 7517385388, 33 clinicians

Practice addresses (Care Compare)

11 Elliott Barker LN
Angel Fire, NM 87710-0133
Phone (575) 377-3301

301 E State Hwy 243
Canton, TX 75103-2418
Phone (903) 567-4692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2008-0060NMMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Colfax County Hospital District CurrentSince May 2, 2024 Accepting new patients
Total Point - Desoto LLC Past Accepting new patients
South Central Colfax County Special Hospital District PastSince Dec 1, 2024 Accepting new patients
El Centro Family Health Past Accepting new patients
El Centro Family Health Past Accepting new patients
Lovelace Urgent Care, LLC PastSince Apr 1, 2025 Accepting new patients

Locations

31039 Highway 64
#B
Cimarron, NM 87714
Phone (575) 376-2402

Interoperability endpoints

  • Direct secure messaging: vincent.ruiz@506120272609284.direct.elationemr.com
  • Direct secure messaging: vruiz1351619@ahs.direct-ci.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1144474552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 BRADBURY DR SE",
            "address_2": "SUITE 2222",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064374",
            "telephone_number": "505-272-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 UNIVERSITY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021727",
            "telephone_number": "505-272-4400",
            "fax_number": "505-925-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "VINCENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-12",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA2008-0060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.