Jorge E Ruiz Diaz, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

8316 Issued in PR

Practice address

10A Rius Rivera
Adjuntas, PR 00601

Phone

(787) 829-1096

Fax

(787) 809-0251

NPI assigned

Jul 25, 2006

Last updated

Oct 17, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Episcopal San Lucas II Hospital, Ponce, PR, CCN 400044

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• FRC Medical Health Services LLC

  • Primary Care Clinic/Center
  • Adjuntas, PR
  • NPI 1063076768
  NPD (past) Authorized official
• Centro Medicina Pimaria Dr. Pimentel Lebron, Inc.

  • General Practice Physician
  • Ponce, PR
  • NPI 1902221112
  NPD (past)
• Saint Lukes Memorial Hospital Inc

  dba Hospital San Lucas

  • General Acute Care Hospital
  • Ponce, PR
  • NPI 1841295557
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Lukes Memorial Hospital Inc

  dba Hospital San Lucas

  • General Acute Care Hospital
  • Ponce, PR
  • NPI 1841295557
  Care Compare affiliation

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1215950985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 989",
            "city": "ADJUNTAS",
            "state": "PR",
            "postal_code": "006010989",
            "telephone_number": "787-829-1096",
            "fax_number": "787-829-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10A RIUS RIVERA",
            "city": "ADJUNTAS",
            "state": "PR",
            "postal_code": "00601",
            "telephone_number": "787-829-1096",
            "fax_number": "787-809-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ DIAZ",
        "first_name": "JORGE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "8316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "8316",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angel L. Rodriguez, BS, CRT, RRT
• Anibal Rodriguez, PHARMD
• Jannette Rodriguez, M. S.
• Joan Ivelisse Rosado Vargas, MRC
• Jorge G Ruiz Coimbre, MD
• Luis E. Saliceti, PSY.D.
• Saluvista LLC
• Diomedes Santiago
• Nydia I. Sepulveda-Pagan II, MD
• Servicios de Salud En El Hogar El Gigante, Inc. (Cuidado Casero El Gigante)

• Internal Medicine Physician in Adjuntas, PR
• Providers in Adjuntas, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.
• 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.