Active NPI
Saul Ruiz Sr., OPTICIAN
- Optician
- Canovanas, PR
National Provider Identifier
1467975557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 548
- Practice address
- Carr 185 KM. 6.1 Bo. Campo Rico
Canovanas, PR 00729-9762 - Phone
- (787) 690-6295
- NPI assigned
- Jul 20, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 548 | PR | Primary |
Addresses
Primary practice location
Carr 185 KM. 6.1 Bo. Campo Rico
Canovanas, PR 00729-9762
Mailing address
HC 3 Box 7574
Canovanas, PR 00729-9762
Phone (787) 690-6295
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 548 | PR | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1467975557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 3 BOX 7574",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "007299762",
"telephone_number": "787-690-6295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 185 KM. 6.1 BO. CAMPO RICO",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "007299762",
"telephone_number": "787-690-6295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "SAUL",
"name_suffix": "Sr.",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-20",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "PR",
"license": "548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canovanas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.