Rocio Del Valle Ruiz Duque, SA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

238000815 Issued in IL

Practice address

18761 Chestnut CT
Mokena, IL 60448-9501

Phone

(786) 448-9020

NPI assigned

Sep 4, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Proassisting, Inc

  • Surgical Physician Assistant
  • Mokena, IL
  • NPI 1679229611
  NPD

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1477388965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 PARK AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605132467",
            "telephone_number": "319-800-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18761 CHESTNUT CT",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604489501",
            "telephone_number": "786-448-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ DUQUE",
        "first_name": "ROCIO",
        "middle_name": "DEL VALLE",
        "credential": "SA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": "238000815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felix Manuel Rodriguez, LCSW
• Vincent Roman
• Johnny C Rossi, D.P.M
• Sean Michael Ruane, PA
• Kathy Ruggio, PT
• Angel Ruiz, SA-C
• Michael Ruiz, P.T.
• Diane Camille Rukscinski, FNP
• Rush-Select Holdings, LLC. (RUSH Physical Therapy)
• Jorie Elizabeth Rusnak

• Surgical Physician Assistant in Mokena, IL
• Providers in Mokena, IL by specialty
• Surgical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.