Individual provider Active NPI

Jose Javier Cruz Ruiz, PT, DPT

  • Physical Therapist
  • Mayaguez, PR
National Provider Identifier
1255374484
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1038 Issued in PR
Practice address
349 Ave Hostos Ste 102
Mayaguez, PR 00680-1511
Phone
(787) 849-4450
Fax
(787) 849-4451
NPI assigned
Jun 14, 2006
Last updated
Dec 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1038 PR Primary

Addresses

Primary practice location

349 Ave Hostos Ste 102
Mayaguez, PR 00680-1511

Mailing address

PO Box 3743
Mayaguez, PR 00681-3743
Phone (787) 849-4450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210114000953 PR Practitioner - Physical Therapist in Private Practice 7214946615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Urb Colinas del Oeste Calle
Suite 10
Hormigueros, PR 00660-1939
Phone (787) 849-1801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1038PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Velvet Physical Therapy LLC Physical Therapist CurrentSince Apr 1, 2022 Accepting new patients
T.F.C.-Terapia Fisica Con Calidad, C.S.P. Single Specialty Past Accepting new patients
Servicios Integrados de Rehabilitacion del Oeste Inc. PastSince Jan 13, 2020 Accepting new patients

Locations

L10 Calle 4
Hormigueros, PR 00660
Phone (787) 517-4736

349 Ave Hostos
Ste 102
Mayaguez, PR 00680
Phone (787) 849-4450

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1255374484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3743",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006813743",
            "telephone_number": "787-849-4450",
            "fax_number": "787-849-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 AVE HOSTOS STE 102",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801511",
            "telephone_number": "787-849-4450",
            "fax_number": "787-849-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ RUIZ",
        "first_name": "JOSE",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.