Individual provider Active NPI

Jose Manuel Ruiz

  • Non-emergency Medical Transport (VAN)
  • Orlando, FL
National Provider Identifier
1477200756
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
3101-1226943 Issued in FL
Practice address
1622 Navarre Ave
Orlando, FL 32822-8026
Phone
(407) 692-8738
NPI assigned
Mar 7, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X R200-433-65-261-0 FL
Non-emergency Medical Transport (VAN) 343900000X 3101-1226943 FL Primary

Addresses

Primary practice location

1622 Navarre Ave
Orlando, FL 32822-8026

Mailing address

1622 Navarre Ave
Orlando, FL 32822-8026
Phone (407) 692-8738

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 4076928738

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3101-1226943FLMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1477200756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 NAVARRE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228026",
            "telephone_number": "407-692-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 NAVARRE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228026",
            "telephone_number": "407-692-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "JOSE",
        "middle_name": "MANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": "R200-433-65-261-0",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": "3101-1226943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "4076928738",
            "affiliation": "N",
            "address_1": "1622 Navarre Ave",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328228026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.