Active NPI
Manuel Alberto Ruiz
- Case Manager/Care Coordinator
- Daytona Beach, FL
National Provider Identifier
1316727993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1220 Willis Ave
Daytona Beach, FL 32114-2810 - Phone
- (800) 539-4228
- Fax
- (386) 236-3161
- NPI assigned
- Oct 2, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1220 Willis Ave
Daytona Beach, FL 32114-2810
Mailing address
150 Magnolia Ave
Daytona Beach, FL 32114-4304
Phone (386) 236-3225
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sma Healthcare Inc | Past | Accepting new patients |
Interoperability endpoints
- manuel.ruiz.p1@direct.smahealthcare.nextgenshare.com
Organizations & group practices 1
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.
-
- Psychiatric Hospital
- Daytona Beach, FL
- NPI 1750369666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1316727993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 MAGNOLIA AVE",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321144304",
"telephone_number": "386-236-3225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 WILLIS AVE",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142810",
"telephone_number": "800-539-4228",
"fax_number": "386-236-3161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "MANUEL",
"middle_name": "ALBERTO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-02",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.