Individual provider Active NPI

Henry Alexander Ruberte, MD

  • Nuclear Imaging & Therapy Physician
  • San Juan, PR
National Provider Identifier
1376153536
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Imaging & Therapy PhysicianTaxonomy code 207UN0902X
License
23813 Issued in PR
Practice address
Centro Medico de Puerto Rico Barrio Monacillos
San Juan, PR 00935-4816
Phone
(787) 777-3535
NPI assigned
Aug 3, 2020
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 6189936 PR
Nuclear Imaging & Therapy Physician 207UN0902X 23813 PR Primary

Addresses

Primary practice location

Centro Medico de Puerto Rico Barrio Monacillos
San Juan, PR 00935-4816

Mailing address

PO Box 60327
Bayamon, PR 00960-6032
Phone (787) 798-3001

Other practice location 1

100 Ave Laurel
Bayamon, PR 00956-4816
Phone (787) 798-3001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
University Central del Caribe Escuela de Medicina, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

370 Calle
10 Apt 34
Trujillo Alto, PR 00976

Andreas Court 370 Calle
10 Apto 34
Trujillo Alto, PR 00976

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23813PRMDNuclear Imaging & Therapy Physician
6189936PRMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1376153536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60327",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009606032",
            "telephone_number": "787-798-3001",
            "fax_number": "787-778-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO MEDICO DE PUERTO RICO BARRIO MONACILLOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009354816",
            "telephone_number": "787-777-3535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Ave Laurel",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "009564816",
            "country_code": "US",
            "telephone_number": "787-798-3001",
            "fax_number": "787-778-0460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBERTE",
        "first_name": "HENRY",
        "middle_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-03",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "6189936",
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "PR",
            "license": "23813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.