Active NPI
Jose Israel Ruiz, M.D.
- Emergency Medicine Physician
- Kissimmee, FL
National Provider Identifier
1215912829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME78717
- Practice address
- 3287 Grouse Ave
Kissimmee, FL 34744-9281 - Phone
- (787) 525-6111
- NPI assigned
- Dec 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 12402 | PR | |
| Internal Medicine Physician | 207R00000X | ME78717 | FL | |
| Internal Medicine Physician | 207R00000X | 12402 | PR | |
| Emergency Medicine Physician | 207P00000X | ME78717 | FL | Primary |
Addresses
Primary practice location
3287 Grouse Ave
Kissimmee, FL 34744-9281
Mailing address
3287 Grouse Ave
Kissimmee, FL 34744-9281
Phone (787) 525-6111
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93 | PR | MD | Naturopath |
| ME78717 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Emergency Services LLC | Emergency Medicine | Current | Accepting new patients |
| Inphynet Contracting Services LLC | Emergency Medicine | Past | Accepting new patients |
| Emergenciologos Para Puerto Rico,CSP | Past | Accepting new patients | |
| Recinto de Ciencias Medicas | Emergency Medicine | Past | Accepting new patients |
Locations
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090
1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bayamon, PR
- NPI 1346466836
-
- Emergency Medicine Physician
- Carolina, PR
- NPI 1841354602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1215912829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3287 GROUSE AVE",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347449281",
"telephone_number": "787-525-6111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3287 GROUSE AVE",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347449281",
"telephone_number": "787-525-6111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "JOSE",
"middle_name": "ISRAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PR",
"license": "12402",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME78717",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "12402",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME78717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.