Individual provider Active NPI

Vanessa I Ruiz Nunez, MD

  • General Practice Physician
  • Aguada, PR
National Provider Identifier
1194332494
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21986 Issued in PR
Practice address
Urb San Jose
42 Calle B
Aguada, PR 00602-3131
Phone
(787) 806-7735
NPI assigned
Sep 30, 2020
Last updated
Sep 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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 21986 PR Primary

Addresses

Primary practice location

Urb San Jose
42 Calle B
Aguada, PR 00602-3131

Mailing address

Urb San Jose
42 Calle B
Aguada, PR 00602-3131

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
I20201201000569 PR Practitioner - General Practice 8022429844 Reassigns benefits to 1 organization
Practice locations: Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Barrio Asomante
Carr 115 KM 24.5
Aguada, PR 00602-9794
Phone (787) 868-0345

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Medica PSC CurrentSince Jul 22, 2022 Accepting new patients
PR Renal Health and Research Inc. PastSince Jan 5, 2014 Accepting new patients
Aguada Medical Center Inc. Past Accepting new patients

Locations

39603 HC 3
Aguada, PR 00602
Phone (787) 868-0345

Organizations & group practices 3

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": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1194332494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB SAN JOSE",
            "address_2": "42 CALLE B",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB SAN JOSE",
            "address_2": "42 CALLE B",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023131",
            "telephone_number": "787-806-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ NUNEZ",
        "first_name": "VANESSA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

Verify at the official NPI Registry.