Individual provider Active NPI

Jean Francis Lopez Ruiz, MD

  • Anesthesiology Physician
  • San German, PR
National Provider Identifier
1437615911
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
23790 Issued in PR
Practice address
Carr #2 KM 173.4 Bo Cain Alto
Hospital la Concepcion
San German, PR 00683
Phone
(917) 704-0497
NPI assigned
Feb 20, 2019
Last updated
Jul 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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 NU
Anesthesiology Physician 207L00000X 23790 PR Primary

Addresses

Primary practice location

Carr #2 KM 173.4 Bo Cain Alto
Hospital la Concepcion
San German, PR 00683

Mailing address

Carr #2 KM 173.4 Bo Cain Alto
Hospital la Concepcion
San German, PR 00683
Phone (917) 704-0497

Other practice location 1

2321 Calle Universidad
Condominio El Mirador Apt 1002
Ponce, PR 00717-0071
Phone (917) 704-0497

Other identifiers 1

IdentifierTypeStateIssuer
6064209MedicaidPR

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
I20240716003209 PR Practitioner - Anesthesiology 8729523550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Menonita de CayeyGroup PAC ID 2466449657, 57 clinicians

Practice addresses (Care Compare)

Carretera 14 Interior
Bo Rincon
Cayey, PR 00737-2800
Phone (787) 434-1700

PO Box
Suite 372800
Cayey, PR 00737-2800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Menonita de Cayey Anesthesiology CurrentSince Nov 1, 2025 Accepting new patients
Hospital Menonita de Cayey Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1437615911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR #2 KM 173.4 BO CAIN ALTO",
            "address_2": "HOSPITAL LA CONCEPCION",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "917-704-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 KM 173.4 BO CAIN ALTO",
            "address_2": "HOSPITAL LA CONCEPCION",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "917-704-0497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2321 Calle Universidad",
            "address_2": "Condominio El Mirador Apt 1002",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "007170071",
            "country_code": "US",
            "telephone_number": "917-704-0497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ RUIZ",
        "first_name": "JEAN",
        "middle_name": "FRANCIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-20",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "23790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6064209",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

Verify at the official NPI Registry.