Enrique Ruiz, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9104245 Issued in FL

Practice address

632 Del Prado Blvd N
Ste 201
Cape Coral, FL 33909-2278

Phone

(239) 829-7102

NPI assigned

Feb 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Precision Healthcare Specialists, LLCGroup PAC ID 6103284955, 129 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Precision Healthcare Specialists, LLC

  • Otolaryngology Physician
  • Fort Myers, FL
  • NPI 1457050106
  Medicare reassignment Care Compare group
• Primehealth Urgent Care LLC

  • Urgent Care Clinic/Center
  • Parrish, FL
  • NPI 1023651825
  Medicare reassignment NPD
• American Mobile Dermatology LLC

  • Specialist
  • Boynton Beach, FL
  • NPI 1821125584
  Medicare reassignment
• Cape Coral Emergency Physicians LLC

  • Emergency Medicine Physician
  • Cape Coral, FL
  • NPI 1376611962
  Medicare reassignment
• Coastal Physicians Inc

  • Urgent Care Clinic/Center
  • Cape Coral, FL
  • NPI 1720648355
  Medicare reassignment
• Small Hospital Innovations LLC

  • Emergency Medicine Physician
  • Clewiston, FL
  • NPI 1184040560
  Medicare reassignment
• Primehealth Urgent Care LLC

  • Urgent Care Clinic/Center
  • Bradenton, FL
  • NPI 1821843335
  NPD
• Oceanwind ER SVCS Partnership LLC

  • Emergency Medicine Physician
  • Punta Gorda, FL
  • NPI 1255389656
  NPD (past)
• Precision Healthcare Specialists

  • Dermatology Physician
  • Fort Myers, FL
  • NPI 1417640046
  NPD (past)
• South Gulf Coast Emergency Physicians PA

  • Emergency Medicine Physician
  • Ft Myers, FL
  • NPI 1124013149
  NPD (past)
• Stephen P. Moenning M.D., P.a.

  • Surgery Physician
  • Punta Gorda, FL
  • NPI 1346279171
  NPD (past)

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1497881692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 DEL PRADO BLVD N",
            "address_2": "STE 201",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092278",
            "telephone_number": "239-829-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 DEL PRADO BLVD N",
            "address_2": "STE 201",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092278",
            "telephone_number": "239-829-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "ENRIQUE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-24",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104245",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-00772",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA91042445",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyse Nicole Ruda, PA-C
• Lisandra Ruiz Diaz
• Fermina Caridad Ruiz Hernandez, RBT
• Arletys Ruiz Lauzurique
• Daniela Ruiz Perez
• Patricia D Ruiz
• Miriam Rusindo Bermudez, APRN
• Dawn Russi, ARNP
• Carol Anne Russo, LMHC NCC
• Hanna Elaine Russo

• Physician Assistant in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.