Individual provider Active NPI

Orestes Montiller Ruz

  • General Practice Registered Nurse
  • West Palm Beach, FL
National Provider Identifier
1265321988
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
RN9619685 Issued in FL
Practice address
2247 Palm Beach Lakes Blvd FL 33409
West Palm Beach, FL 33409-3470
Phone
(281) 492-8453
NPI assigned
Jun 30, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9619685 FL
General Practice Registered Nurse 163WG0000X RN9619685 FL Primary

Addresses

Primary practice location

2247 Palm Beach Lakes Blvd FL 33409
West Palm Beach, FL 33409-3470

Mailing address

4024 N Story Rd # 825a
Irving, TX 75038-5974
Phone (281) 492-4853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN9619685FLMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1265321988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4024 N STORY RD # 825A",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750385974",
            "telephone_number": "281-492-4853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2247 PALM BEACH LAKES BLVD FL 33409",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093470",
            "telephone_number": "281-492-8453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTILLER RUZ",
        "first_name": "ORESTES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9619685",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "RN9619685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.