Individual provider Active NPI

Confesor Lasalle-Ruiz, M.D.

  • Cardiovascular Disease Physician
  • San Sebastian, PR
National Provider Identifier
1275633984
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
7172 Issued in PR
Practice address
66 Calle MJ Cabrero
San Sebastian, PR 00685-2219
Phone
(787) 896-7000
Fax
(787) 896-7100
NPI assigned
Sep 23, 2006
Last updated
Apr 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 7172 PR Primary

Addresses

Primary practice location

66 Calle MJ Cabrero
San Sebastian, PR 00685-2219

Mailing address

PO Box 976
Quebradillas, PR 00678-0976
Phone (787) 896-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120330000551 PR Practitioner - Cardiovascular Disease (Cardiology) 8628238532 Practice locations: San Sebastian, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University Central del Caribe Escuela de Medicina, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 Calle MJ Cabrero
San Sebastian, PR 00685-2219
Phone (787) 896-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7172PRMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kardionuclear, Inc. Cardiovascular Disease PastSince Sep 18, 2014 Accepting new patients
Serv Emerg del Noroeste Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Puerto Rico Home HealthQuebradillas, PR, CCN 407031 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Feb 15, 2013
Feb 15, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, 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": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1275633984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 976",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006780976",
            "telephone_number": "787-896-7000",
            "fax_number": "787-896-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CALLE MJ CABRERO",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006852219",
            "telephone_number": "787-896-7000",
            "fax_number": "787-896-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASALLE-RUIZ",
        "first_name": "CONFESOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "7172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

Verify at the official NPI Registry.