Camilo Ruiz DO PA

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

Legal business name

CAMILO RUIZ DO PA

Practice address

1319 SE 2ND Avenue
Fort Lauderdale, FL 33316-1809

Phone

(954) 839-6987

Fax

(954) 839-6923

NPI assigned

May 26, 2010

Last updated

Dec 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Camilo Ruiz, DONPI 1063664696

Title

Owner

Phone

(954) 839-6987

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Camilo A Ruiz

  • Sleep Medicine (Internal Medicine) Physician
  • Fort Lauderdale, FL
  • NPI 1063664696
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1205155538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 SE 2ND AVENUE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161809",
            "telephone_number": "954-839-6987",
            "fax_number": "954-839-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 SE 2ND AVENUE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161809",
            "telephone_number": "954-839-6987",
            "fax_number": "954-839-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMILO RUIZ DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-26",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "CAMILO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-839-6987",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115525000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DQ885B",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camelot Community Care
• Camelot Community Care, Inc
• Camelot Community Care, Inc
• Jessica Camenisch, RBT
• John Cameron, DPM
• Elizabeth Alwiena Camp, RBT-23-27019
• Maria Calzadilla Camp, D.M.D.
• Maria del Carmen Campana Cisneros, PHARMACIST
• Andrew Bruce Campbell, MD
• April S Campbell, NP

• Sleep Medicine (Internal Medicine) Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Sleep Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.