Active NPI
Ivan Ruiz
- Registered Dietitian
- San Juan, PR
National Provider Identifier
1538515424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1069648
- Practice address
- 983 Calle Madrid
Apt 28 Urb. Santa Rita
San Juan, PR 00925-2647 - Phone
- (787) 641-7582
- NPI assigned
- May 10, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1069648 | PR | Primary |
Addresses
Primary practice location
983 Calle Madrid
Apt 28 Urb. Santa Rita
San Juan, PR 00925-2647
Mailing address
983 Calle Madrid Apt 28
Urb Santa Rita
San Juan, PR 00925-0092
Phone (787) 641-7582
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1069648 | PR | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462838400000",
"number": "1538515424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "983 CALLE MADRID APT 28",
"address_2": "URB SANTA RITA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009250092",
"telephone_number": "787-641-7582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "983 CALLE MADRID",
"address_2": "APT 28 URB. SANTA RITA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009252647",
"telephone_number": "787-641-7582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "IVAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-10",
"last_updated": "2016-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "1069648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.