Javier Ruiz

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

022069 Issued in PR

Practice address

675 Calle S Cuevas Bustamante
Cond. Torre del Cardenal Apt 119
San Juan, PR 00918-4090

Phone

(787) 241-8805

NPI assigned

Jul 29, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719014400000",
    "number": "1265985923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 705",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006130705",
            "telephone_number": "787-241-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 CALLE S CUEVAS BUSTAMANTE",
            "address_2": "COND. TORRE DEL CARDENAL APT 119",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009184090",
            "telephone_number": "787-241-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "JAVIER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-29",
        "last_updated": "2024-06-22",
        "certification_date": "2024-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "022069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos E Ruiz, MD
• Edgardo J Ruiz, DMD
• Elimar Ruiz, MSW
• Elsa Maria Ruiz, M.D.
• Ivan Ruiz
• Javier Ruiz, LMT
• Jessica Ivette Villegas Ruiz
• Kelma Yadith Ruiz, MD
• Lorell Veronica Ruiz, MSW
• Luz A Ruiz, RD

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2024; 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.