Individual provider Active NPI

Deborah Zoe Cruz Ruiz, MD

  • Student in an Organized Health Care Education/Training Program
  • Ponce, PR
National Provider Identifier
1528632510
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
36827-R Issued in PR
Practice address
2213 Ponce by Pass
Ponce, PR 00717
Phone
(787) 840-8686
NPI assigned
May 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 15733-I PR
Student in an Organized Health Care Education/Training Program 390200000X
Medical Physician Assistant 363AM0700X 1388-PA PR
Student in an Organized Health Care Education/Training Program 390200000X 36827-R PR Primary

Addresses

Primary practice location

2213 Ponce by Pass
Ponce, PR 00717

Mailing address

HC 1 Box 16803
Aguadilla, PR 00603
Phone (787) 685-2188

Other practice location 1

Calle II Concepcion Vera Ayala
Moca, PR 00676
Phone (787) 877-8000

Other practice location 2

Avenida Severiano Cuevas
#18 KM 141.1 Bo. Caimital Bajo
Aguadilla, PR 00603
Phone (787) 658-0000 ext. 1019

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1388-PAPRMDMedical Physician Assistant
15733-IPRMDStudent in an Organized Health Care Education/Training Program
36827-RPRMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1528632510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 16803",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-685-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 PONCE BY PASS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-840-8686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Calle II Concepcion Vera Ayala",
            "address_purpose": "LOCATION",
            "city": "Moca",
            "state": "PR",
            "postal_code": "00676",
            "country_code": "US",
            "telephone_number": "787-877-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Avenida Severiano Cuevas",
            "address_2": "#18 KM 141.1 Bo. Caimital Bajo",
            "address_purpose": "LOCATION",
            "city": "Aguadilla",
            "state": "PR",
            "postal_code": "00603",
            "country_code": "US",
            "telephone_number": "787-658-0000 x1019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ RUIZ",
        "first_name": "DEBORAH",
        "middle_name": "ZOE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "15733-I",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "1388-PA",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "36827-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.