Individual provider Active NPI

Edna M Ruiz Quijano, MD

  • Diagnostic Radiology Physician
  • San Juan, PR
National Provider Identifier
1316902067
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
7670 Issued in PR
Practice address
Casia St 10 VA Medical Center
Radiology Service 114
San Juan, PR 00921-3201
Phone
(787) 758-7575
Fax
(787) 641-2965
NPI assigned
Apr 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 7670 PR Primary

Addresses

Primary practice location

Casia St 10 VA Medical Center
Radiology Service 114
San Juan, PR 00921-3201

Mailing address

3Rd St C-4 Romany Park
San Juan, PR 00926
Phone (787) 720-1549

Other names 1

  • Edna M Ruiz Quijano Other name

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
I20220618000142 PR Order and Referring Only - Diagnostic RadiologyPractitioner - Diagnostic Radiology 4486824992

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7670PRMDDiagnostic Radiology Physician

Interoperability endpoints

  • Direct secure messaging: sjceruiz@yourcarecommunity.org

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1316902067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3RD ST C-4 ROMANY PARK",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-720-1549",
            "fax_number": "787-720-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CASIA ST 10 VA MEDICAL CENTER",
            "address_2": "RADIOLOGY SERVICE 114",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213201",
            "telephone_number": "787-758-7575",
            "fax_number": "787-641-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ QUIJANO",
        "first_name": "EDNA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "7670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDNA",
            "last_name": "RUIZ QUIJANO",
            "middle_name": "M",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.