Individual provider Active NPI

Rafael Ruiz, MD

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1477578219
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
N9406 Issued in TX
Practice address
7808 Clodus Fields Dr
Dallas, TX 75251-2206
Phone
(972) 770-1032
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME86222 FL
Psychiatry Physician 2084P0800X N9406 TX Primary

Addresses

Primary practice location

7808 Clodus Fields Dr
Dallas, TX 75251-2206

Mailing address

7808 Clodus Fields Dr
Dallas, TX 75251-2206
Phone (972) 770-1032

Other identifiers 1

IdentifierTypeStateIssuer
000731500MedicaidFL

Other names 1

  • Dr. Rafael Ruiz-Colon Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

107 Woodbine PL
Longview, TX 75601-2912

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME86222FLMDPsychiatry Physician
N9406TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Border Region MH Mr Community Center Psychiatry CurrentSince Dec 1, 2018 Accepting new patients
Sabine Valley Regional MHMR Center Psychiatry Current Accepting new patients
Sabine Valley Regional MHMR Center CurrentSince Dec 1, 2023 Accepting new patients

Locations

1500 Pappas St
Laredo, TX 78041
Phone (956) 794-3000

950 N 4th St
Longview, TX 75601
Phone (903) 757-1106

1300 N 6th St
Longview, TX 75601
Phone (903) 232-8928

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1477578219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7808 CLODUS FIELDS DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512206",
            "telephone_number": "972-770-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7808 CLODUS FIELDS DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512206",
            "telephone_number": "972-770-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME86222",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N9406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000731500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAFAEL",
            "last_name": "RUIZ-COLON",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.