Active NPI
Javier Garcia Ruiz, PMHNP
- Nurse Practitioner
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11028408
- Practice address
- 4800 NE 20TH Ter Ste 101
Fort Lauderdale, FL 33308-4510 - Phone
- (954) 566-2126
- Fax
- (954) 566-2150
- NPI assigned
- Jul 14, 2021
- Reactivated
- Nov 2, 2023
- Last updated
- Oct 5, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11028408 | FL | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11028408 | FL |
Addresses
Primary practice location
4800 NE 20TH Ter Ste 101
Fort Lauderdale, FL 33308-4510
Mailing address
4800 NE 20TH Ter Ste 101
Fort Lauderdale, FL 33308-4510
Phone (954) 566-2160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD, FL, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6188 Oxon Hill Rd
Oxon Hill, MD 20745-3149
Phone (301) 856-5860
6196 Oxon Hill Rd
Suite 510
Oxon Hill, MD 20745-3116
Phone (540) 760-6285
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC005979 | MD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metrospine PC | Current | Accepting new patients | |
| Signify Health, LLC | Nurse Practitioner | Current | Accepting new patients |
| Javier Garcia Psychiatry & Wellness Center | Current | Accepting new patients | |
| Metrospine PC | Current | Accepting new patients |
Locations
6188 Oxon Hill Rd
Ste 100
Oxon Hill, MD 20745
Phone (301) 567-2100
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823
Organizations & group practices 5
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Fort Lauderdale, FL
- NPI 1700713690
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Oxon Hill, MD
- NPI 1861860116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1437721941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 NE 20TH TER STE 101",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333084510",
"telephone_number": "954-566-2160",
"fax_number": "954-566-2150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 NE 20TH TER STE 101",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333084510",
"telephone_number": "954-566-2126",
"fax_number": "954-566-2150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA RUIZ",
"first_name": "JAVIER",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-14",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"deactivation_date": "2023-09-23",
"reactivation_date": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11028408",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "11028408",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.