Active NPI
Maribel Gonzalez Ruiz, FNP-BC
- Family Nurse Practitioner
- Guayama, PR
National Provider Identifier
1194383240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 004536
- Practice address
- Urb la Hacienda Albizu Campos Esquina Principal
Guayama, PR 00784-0011 - Phone
- (787) 864-4300
- NPI assigned
- Jun 4, 2019
- Last updated
- Dec 4, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 004536 | PR | Primary |
| Registered Nurse | 163W00000X | 083303 | PR |
Addresses
Primary practice location
Urb la Hacienda Albizu Campos Esquina Principal
Guayama, PR 00784-0011
Mailing address
Urbanizacion Bosque de la Sierra
Calle Coqui Grillo # 1004
Caguas, PR 00725
Phone (787) 240-1755
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 083303 | Medicaid | PR | |
| F1220768 | Medicaid | FL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 083303 | PR | MD | Registered Nurse |
| 004536 | PR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Xanarte, LLC | Family | Current | Accepting new patients |
| Xanarte, LLC | Family | Current | Accepting new patients |
| Hospital Menonita Guayama Inc | Current | Accepting new patients | |
| Southeastern in Hospital Medical Services LLC | Current | Accepting new patients | |
| Avondale Care Group LLC | Past | Accepting new patients |
Organizations & group practices 5
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.
-
dba Hospital Menonita de Guayama
- Critical Access Hospital
- Guayama, PR
- NPI 1639696289
-
- Specialist
- Guayama, PR
- NPI 1932838844
-
- Family Nurse Practitioner
- Guayama, PR
- NPI 1629812433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1194383240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URBANIZACION BOSQUE DE LA SIERRA",
"address_2": "CALLE COQUI GRILLO # 1004",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-240-1755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB LA HACIENDA ALBIZU CAMPOS ESQUINA PRINCIPAL",
"city": "GUAYAMA",
"state": "PR",
"postal_code": "007840011",
"telephone_number": "787-864-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ RUIZ",
"first_name": "MARIBEL",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-04",
"last_updated": "2023-12-04",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PR",
"license": "004536",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PR",
"license": "083303",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "083303",
"state": "PR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "F1220768",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Guayama, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.