Individual provider Active NPI

Jose L Ruiz, M.D.

  • General Practice Physician
  • Cutler Bay, FL
National Provider Identifier
1285631408
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME66055 Issued in FL
Practice address
11285 SW 211TH St
Suite 304
Cutler Bay, FL 33189-2211
Phone
(305) 971-6883
Fax
(305) 971-6836
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME66055 FL Primary

Addresses

Primary practice location

11285 SW 211TH St
Suite 304
Cutler Bay, FL 33189-2211

Mailing address

11285 SW 211TH St
Suite 304
Cutler Bay, FL 33189-2211
Phone (305) 971-6883

Other identifiers 1

IdentifierTypeStateIssuer
373801903MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050428000101 FL Practitioner - General PracticePractitioner - Family PracticePractitioner - Pediatric Medicine 8820037047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Family Practice
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Universal Therapy Center IncGroup PAC ID 4486732153, 40 clinicians

Practice addresses (Care Compare)

11285 SW 211TH St
Suite 304
Cutler Bay, FL 33189-2213
Phone (305) 971-6883

7223 Coral Way
Miami, FL 33155-1401
Phone (305) 264-0470

Hospital & facility affiliations

  • Homestead Hospital Hospital, Homestead, FL, CCN 100125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66055FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cenara Clinical Research, Inc. CurrentSince Sep 8, 2025 Accepting new patients
Jose Luis Ruiz MD PA CurrentSince Jan 3, 2005 Accepting new patients
Jose Luis Ruiz MD PA Past Accepting new patients
Four Forty West Medical & Surgical Center Corp Past Accepting new patients

Locations

777 E 25th St
Ste 304
Hialeah, FL 33013
Phone (305) 231-8996

11285 SW 211th St
Ste 304
Miami, FL 33189
Phone (305) 971-6883

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1285631408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11285 SW 211TH ST",
            "address_2": "SUITE 304",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331892211",
            "telephone_number": "305-971-6883",
            "fax_number": "305-971-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11285 SW 211TH ST",
            "address_2": "SUITE 304",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331892211",
            "telephone_number": "305-971-6883",
            "fax_number": "305-971-6836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "JOSE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME66055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373801903",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

Verify at the official NPI Registry.