Individual provider Active NPI

Maria Cristina Fernandez-Ruiz, M.D.

  • Ophthalmology Physician
  • Hollywood, FL
National Provider Identifier
1538507157
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME135118 Issued in FL
Practice address
300 S Park Rd Ste 300
Hollywood, FL 33021-8353
Phone
(954) 925-2740
Fax
(954) 923-8379
NPI assigned
Jun 5, 2013
Last updated
Jun 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME135118 FL Primary
Ophthalmology Physician 207W00000X 430110466 MI

Addresses

Primary practice location

300 S Park Rd Ste 300
Hollywood, FL 33021-8353

Mailing address

300 S Park Rd Ste 300
Hollywood, FL 33021-8353
Phone (954) 925-2740

Other identifiers 1

IdentifierTypeStateIssuer
024082700MedicaidFL

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190201000482 FL Practitioner - Ophthalmology 3577866011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Puerto Rico School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Surgery Associates LLCGroup PAC ID 4688575244, 12 clinicians

Practice addresses (Care Compare)

300 S Park Rd
Suite 300
Hollywood, FL 33021-8353
Phone (954) 925-2740

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME135118FLMDOphthalmology Physician
430110466MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Surgery Associates LLC Ophthalmology CurrentSince Sep 17, 2018 Accepting new patients
Eye Surgery Assocites LLC CurrentSince Sep 17, 2018 Accepting new patients
Eye Surgery Associates LLC Current Accepting new patients
Rop Consultants of South Florida. P.a. Ophthalmology Past Accepting new patients

Locations

2740 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 334-3124

300 S Park Rd
Ste 300
Hollywood, FL 33021
Phone (954) 925-2740

1200 SW 145th Ave
Ste 250
Pembroke Pines, FL 33027
Phone (954) 431-2777

603 N Flamingo Rd
Ste 250
Pembroke Pines, FL 33028
Phone (954) 431-2777

2300 N Commerce Pkwy
Ste 307
Weston, FL 33326
Phone (954) 217-3155

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: maria.fernandezruizmd.p3@direct.drea.nextgenshare.com

Organizations & group practices 4

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": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1538507157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S PARK RD STE 300",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218353",
            "telephone_number": "954-925-2740",
            "fax_number": "954-923-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S PARK RD STE 300",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218353",
            "telephone_number": "954-925-2740",
            "fax_number": "954-923-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ-RUIZ",
        "first_name": "MARIA",
        "middle_name": "CRISTINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME135118",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "430110466",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024082700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.