Individual provider Active NPI

Hiram Antonio Ruiz, MD

  • Dermatology Physician
  • Arecibo, PR
National Provider Identifier
1164433595
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
3280 Issued in PR
Practice address
Cayetano Coll Y Toste Suite 103
Arecibo, PR 00612
Phone
(787) 878-4849
Fax
(787) 878-7760
NPI assigned
Aug 10, 2006
Sex
Male
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
Dermatology Physician 207N00000X 3280 PR Primary

Addresses

Primary practice location

Cayetano Coll Y Toste Suite 103
Arecibo, PR 00612

Mailing address

PO Box 1025
Arecibo, PR 00613-1025
Phone (787) 878-4849

Other names 1

  • Dr. Hiram Antonio Ruiz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230501003098 FL Order and Referring Only - DermatologyPractitioner - Dermatology 1153519814

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3280PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Dermatology Past Accepting new patients
Recinto de Ciencias Medicas Past 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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164433595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1025",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006131025",
            "telephone_number": "787-878-4849",
            "fax_number": "787-878-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAYETANO COLL Y TOSTE SUITE 103",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-878-4849",
            "fax_number": "787-878-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "HIRAM",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "3280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HIRAM",
            "last_name": "RUIZ",
            "middle_name": "ANTONIO",
            "prefix": "DR.",
            "credential": "M. D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.