Individual provider Active NPI

Carlos Andres Perez Ruiz, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • San Antonio, TX
National Provider Identifier
1386130151
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
T5003 Issued in TX
Practice address
933 Pleasanton Rd Ste 109
San Antonio, TX 78214-1657
Phone
(210) 395-3395
NPI assigned
Jul 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X T5003 TX Primary

Addresses

Primary practice location

933 Pleasanton Rd Ste 109
San Antonio, TX 78214-1657

Mailing address

933 Pleasanton Rd Ste 109
San Antonio, TX 78214-1657
Phone (210) 395-3395

Other practice location 1

1499 Hillcrest Dr Ste 109
San Antonio, TX 78228-3900
Phone (210) 441-5474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220715000587 TX Practitioner - Hospice/Palliative Care 7214285824 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T5003TXMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zoe Hospice LLC CurrentSince Sep 15, 2024 Accepting new patients
GMG Health Systems Associates PA CurrentSince Jul 5, 2022 Accepting new patients
South Texas Ancillary Services, LTD PastSince Jun 1, 2022 Accepting new patients

Locations

902 Bandera Rd
San Antonio, TX 78228
Phone (210) 431-4503

720 Pleasanton Rd
San Antonio, TX 78214

1499 Hillcrest Dr
Ste 109
San Antonio, TX 78228
Phone (210) 441-5474

1499 Hillcrest Dr
San Antonio, TX 78228
Phone (210) 921-6600

933 Pleasanton Rd
Ste 109
San Antonio, TX 78214
Phone (210) 395-3395

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1386130151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 PLEASANTON RD STE 109",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782141657",
            "telephone_number": "210-395-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 PLEASANTON RD STE 109",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782141657",
            "telephone_number": "210-395-3395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1499 Hillcrest Dr Ste 109",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782283900",
            "country_code": "US",
            "telephone_number": "210-441-5474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ RUIZ",
        "first_name": "CARLOS",
        "middle_name": "ANDRES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-05",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "T5003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.