Individual provider Active NPI

Elsa Maria Ruiz, M.D.

  • Specialist
  • San Juan, PR
National Provider Identifier
1154531978
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
13453 Issued in PR
Practice address
251 Ave Winston Churchill
Box 10 Parque El Senorial
San Juan, PR 00926-6601
Phone
(787) 761-9685
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 13453 PR Primary

Addresses

Primary practice location

251 Ave Winston Churchill
Box 10 Parque El Senorial
San Juan, PR 00926-6601

Mailing address

251 Ave Winston Churchill
Box 10 Parque El Senorial
San Juan, PR 00926-6601
Phone (787) 761-9685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13453PRMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154531978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 AVE WINSTON CHURCHILL",
            "address_2": "BOX 10 PARQUE EL SENORIAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266601",
            "telephone_number": "787-761-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 AVE WINSTON CHURCHILL",
            "address_2": "BOX 10 PARQUE EL SENORIAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266601",
            "telephone_number": "787-761-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "ELSA",
        "middle_name": "MARIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "13453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.