Active NPI
Ada Y. Miranda-Ruiz, M.D.
- Family Medicine Physician
- Arecibo, PR
National Provider Identifier
1154357234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12561
- Practice address
- Ave. Miramar #450
Arecibo, PR 00612 - Phone
- (787) 680-2190
- NPI assigned
- Jun 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12561 | PR | Primary |
Addresses
Primary practice location
Ave. Miramar #450
Arecibo, PR 00612
Mailing address
PO Box 1511
Quebradillas, PR 00678-1511
Phone (787) 380-5051
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Avenida Dr Susoni
Suite 121
Hatillo, PR 00659
Phone 7878984190406
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corporacion Servicios Medicos Primarios Y Prevencion de Hatillo | Family Medicine | Current | Accepting new patients |
| Corporacion de Servicios Medicos Primarios Y Prevencion de Hatillo | Past | Accepting new patients | |
| Iliana Ruiz | Past | Accepting new patients | |
| Corporacion de Servicios Medicos Primarios Y Prevencion de Hatillo | Past | Accepting new patients |
Locations
121 Ave Dr Susoni
Hatillo, PR 00659
Phone (787) 314-5291
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Hatillo, PR
- NPI 1306877279
Family Medicine
-
- Community/Retail Pharmacy
- Arecibo, PR
- NPI 1427581511
-
- Community/Retail Pharmacy
- Hatillo, PR
- NPI 1659406015
-
- Clinical Medical Laboratory
- Arecibo, PR
- NPI 1275762361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1154357234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1511",
"city": "QUEBRADILLAS",
"state": "PR",
"postal_code": "006781511",
"telephone_number": "787-380-5051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE. MIRAMAR #450",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00612",
"telephone_number": "787-680-2190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA-RUIZ",
"first_name": "ADA",
"middle_name": "Y.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2021-07-28",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "12561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.