Organization Active NPI

Dr Luis Raul Ruiz Rivera CSP

  • Endocrinology, Diabetes & Metabolism Physician
  • Ponce, PR
National Provider Identifier
1386993244
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
6090 Issued in PR
Legal business name
DR LUIS RAUL RUIZ RIVERA CSP
Practice address
2614 Calle Mayor
Ponce, PR 00717-2074
Phone
(787) 848-4997
Fax
(787) 848-4997
NPI assigned
Sep 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Authorized official

Name
Dr. Luis R Ruiz, M.D.
Title
Endocrinology
Phone
(787) 848-4997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 6090 PR Primary

Addresses

Primary practice location

2614 Calle Mayor
Ponce, PR 00717-2074

Mailing address

2614 Calle Mayor
Ponce, PR 00717-2074
Phone (787) 848-4997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130712000538 PR Part B Supplier - Clinic/Group Practice 9931349099 Receives reassigned benefits from 1 practitioner
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

Locations

2614 Calle Mayor
Ponce, PR 00717
Phone (787) 840-8293

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1386993244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 CALLE MAYOR",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172074",
            "telephone_number": "787-848-4997",
            "fax_number": "787-848-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 CALLE MAYOR",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172074",
            "telephone_number": "787-848-4997",
            "fax_number": "787-848-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LUIS RAUL RUIZ RIVERA CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ENDOCRINOLOGY",
        "authorized_official_telephone_number": "787-848-4997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": "6090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.