Individual provider Active NPI

Iraida Ruiz, M.D.

  • General Practice Physician
  • Florida, PR
National Provider Identifier
1225084379
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
11621 Issued in PR
Practice address
HC 1 Box 3639
Florida, PR 00650-9512
Phone
(787) 822-1122
Fax
(787) 822-1122
NPI assigned
May 26, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 11621 PR Primary

Addresses

Primary practice location

HC 1 Box 3639
Florida, PR 00650-9512

Mailing address

HC 1 Box 3639
Florida, PR 00650-9512
Phone (787) 822-1122

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20051103000878 PR Practitioner - General Practice 7618995093 Practice locations: Florida, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

54 Calle Ceiba Carr
Suite 631
Florida, PR 00650
Phone (787) 822-1122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11621PRMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1225084379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 3639",
            "city": "FLORIDA",
            "state": "PR",
            "postal_code": "006509512",
            "telephone_number": "787-822-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 3639",
            "city": "FLORIDA",
            "state": "PR",
            "postal_code": "006509512",
            "telephone_number": "787-822-1122",
            "fax_number": "787-822-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "IRAIDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florida, PR

Sources for this page

Verify at the official NPI Registry.