Edithmar Gustavo Ruiz, LND,MPH

Primary specialty

NutritionistTaxonomy code 133N00000X

License

1400 Issued in PR

Practice address

606 Ave Tito Castro
La Rambla Plaza Suite 135
Ponce, PR 00716-0205

Phone

(787) 840-6838

Fax

(787) 842-6838

NPI assigned

May 29, 2007

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Contusalud Medical Group PSC

  • General Practice Physician
  • Ponce, PR
  • NPI 1114520541
  NPD (past)

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1245431386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 CALLE DON DIEGO",
            "address_2": "VILLA FLORES",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162921",
            "telephone_number": "787-671-8676",
            "fax_number": "787-651-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 AVE TITO CASTRO",
            "address_2": "LA RAMBLA PLAZA SUITE 135",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007160205",
            "telephone_number": "787-840-6838",
            "fax_number": "787-842-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAVO RUIZ",
        "first_name": "EDITHMAR",
        "credential": "LND,MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCES",
            "identifier": "001400",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dargee Emid Guevarez, M.D.
• Nadia Estefania Guichardo, MD
• Camille Guiliani
• Diego Javier Guilloty Duran
• Puneet Gupta
• Adriana Isabel Gutierrez Camacho
• Marcelo Gutierrez Colon, MD
• Stella Nykole Gutierrez Pagan
• Carmen Maria Gutierrez Reyes
• Jorge H Gutierrez-Dorrington, MD

• Nutritionist in Ponce, PR
• Providers in Ponce, PR by specialty
• Nutritionist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.