Individual provider Active NPI

Ana Napoles-Ruiz, MD

  • Pediatrics Physician
  • Loxahatchee, FL
National Provider Identifier
1275518227
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME49279 Issued in FL
Practice address
12957 Palms West Dr
BLDG 9, Suite 101
Loxahatchee, FL 33470-4932
Phone
(561) 795-5979
Fax
(561) 795-9460
NPI assigned
Dec 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME49279 FL Primary

Addresses

Primary practice location

12957 Palms West Dr
BLDG 9, Suite 101
Loxahatchee, FL 33470-4932

Mailing address

14400 NW 77TH CT Ste 102
Miami Lakes, FL 33016-1590
Phone (305) 823-7768

Other identifiers 1

IdentifierTypeStateIssuer
260298900MedicaidFL

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME49279FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Lakes Pediatrics PLLC Pediatrics Past Accepting new patients
Miami Lakes Pediatrics PLLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19861/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ana.napoles-ruiz.1@19861.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1275518227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14400 NW 77TH CT STE 102",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161590",
            "telephone_number": "305-823-7768",
            "fax_number": "305-823-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12957 PALMS WEST DR",
            "address_2": "BLDG 9, SUITE 101",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334704932",
            "telephone_number": "561-795-5979",
            "fax_number": "561-795-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAPOLES-RUIZ",
        "first_name": "ANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME49279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260298900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; 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.