Jorge E Ruiz Diaz, M.D.
Individual provider Active NPI Internal Medicine Physician · Adjuntas, PR
NPI 1215950985 · NPPES record last updated Oct 17, 2012
Key facts
- NPI
- 1215950985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 8316 (PR)
- Practice address
- 10A Rius Rivera
Adjuntas, PR 00601 - Phone
- (787) 829-1096
- Fax
- (787) 809-0251
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10 A Calle Rius Rivera
Adjuntas, PR 00601-2335
Phone (787) 829-1096
Hospital & facility affiliations
- Hospital Episcopal San Lucas II
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100817000466 | PR | Practitioner - Internal Medicine | 6406980168 | Practice locations: Adjuntas, PR; Ponce, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Lukes Memorial Hospital Inc | Past | Accepting new patients | |
| Centro Medicina Pimaria Dr. Pimentel Lebron, Inc. | Past | Accepting new patients | |
| FRC Medical Health Services LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 8316 | PR | Yes |
Addresses
Primary practice location
10A Rius Rivera
Adjuntas, PR 00601
Mailing address
PO Box 989
Adjuntas, PR 00601-0989
Phone (787) 829-1096
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8316 | Other | PR | MEDICAL LICENSE |
Other providers in Adjuntas, PR
- Angel L. Rodriguez
- Anibal Rodriguez
- Jannette Rodriguez
- Joan Ivelisse Rosado Vargas
- Jorge G Ruiz Coimbre
- Luis E. Saliceti
- Saluvista LLC
- Diomedes Santiago
- Nydia I. Sepulveda-Pagan II
- Servicios de Salud En El Hogar El Gigante, Inc.
All providers in Adjuntas, PR · Internal Medicine Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.