Individual provider Active NPI

Yamilcis Jenoury Ruiz- Lorenzo, MD.

  • Internal Medicine Physician
  • Ponce, PR
National Provider Identifier
1497902316
Registry record updated Mar 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16077 Issued in PR
Practice address
2225 Ponce by Pass Ste 302
Ponce, PR 00717-1322
Phone
(787) 844-1248
NPI assigned
Aug 21, 2008
Last updated
Mar 12, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16077 PR Primary

Addresses

Primary practice location

2225 Ponce by Pass Ste 302
Ponce, PR 00717-1322

Mailing address

HC 56 Box 34286-1
Aguada, PR 00602-9773
Phone (787) 464-0903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100803000949 PR Practitioner - Internal Medicine 8527191121 Practice locations: Aguada, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 5 Carr 417 KM
Aguada, PR 00602
Phone (787) 868-8877

342861 HC
Suite 56
Aguada, PR 00602

HC61 Box
Suite 34281
Aguada, PR 00602

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Internal Medicine Group, Inc. Internal Medicine PastSince Sep 19, 2013 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268352000000",
    "number": "1497902316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 56 BOX 34286-1",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029773",
            "telephone_number": "787-464-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 PONCE BY PASS STE 302",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171322",
            "telephone_number": "787-844-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ- LORENZO",
        "first_name": "YAMILCIS",
        "middle_name": "JENOURY",
        "credential": "MD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2010-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "16077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.