Active NPI
Waleska Ruiz, PSY.D
- Clinical Psychologist
- Quebradillas, PR
National Provider Identifier
1376983353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6901
- Practice address
- Barrio Cacao
Carretera 4474 KM. 0.1
Quebradillas, PR 00678 - Phone
- (787) 895-8080
- Fax
- (939) 666-0390
- NPI assigned
- Jul 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11682 | PR | |
| Clinical Psychologist | 103TC0700X | 6901 | PR | Primary |
Addresses
Primary practice location
Barrio Cacao
Carretera 4474 KM. 0.1
Quebradillas, PR 00678
Mailing address
PO Box 1366
Isabela, PR 00662-1366
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130827000648 | PR | Practitioner - Clinical Social Worker | 3173766912 | Practice locations: Quebradillas, PR |
| I20210409001060 | PR | Practitioner - Clinical Psychologist | 3173766912 | Practice locations: Quebradillas, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6901 | PR | MD | Clinical Psychologist |
| 11682 | PR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Antonio Medical LLC | Past | Accepting new patients | |
| Excelence Healthcare, C.S.P. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Exclusive Provider Organization
- Quebradillas, PR
- NPI 1437389053
-
- Exclusive Provider Organization
- Quebradillas, PR
- NPI 1184329567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1376983353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1366",
"city": "ISABELA",
"state": "PR",
"postal_code": "006621366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BARRIO CACAO",
"address_2": "CARRETERA 4474 KM. 0.1",
"city": "QUEBRADILLAS",
"state": "PR",
"postal_code": "00678",
"telephone_number": "787-895-8080",
"fax_number": "939-666-0390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "WALESKA",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-05",
"last_updated": "2023-04-05",
"certification_date": "2023-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "11682",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "6901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quebradillas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.