Individual provider Active NPI

Kelma Yadith Ruiz, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1437851409
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
023912 Issued in PR
Practice address
690 Calle Washington Urb la Cumbre
San Juan, PR 00926-5623
Phone
(787) 245-1806
NPI assigned
Mar 21, 2023
Last updated
Jun 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 023912 PR Primary

Addresses

Primary practice location

690 Calle Washington Urb la Cumbre
San Juan, PR 00926-5623

Mailing address

PO Box 4197
Guaynabo, PR 00970
Phone (787) 245-1806

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
I20240730000349 PR Practitioner - General Practice 7416493218 Practice locations: Fajardo, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

151 Ave Osvaldo Molina
Fajardo, PR 00738-4013
Phone (787) 801-0081

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023912PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dra Kelma Y Ruiz Baez Medicalservices LLC General Practice PastSince Mar 26, 2023 Accepting new patients
San Francisco Health System Inc Past Accepting new patients
Doctors Center Hospital San Juan Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1437851409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4197",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00970",
            "telephone_number": "787-245-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 CALLE WASHINGTON URB LA CUMBRE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265623",
            "telephone_number": "787-245-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "KELMA",
        "middle_name": "YADITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "023912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.