Active NPI
Elimar Ruiz, MSW
- Clinical Social Worker
- San Juan, PR
National Provider Identifier
1598078339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10376
- Practice address
- 996 Calle San Roberto Edificio 5 Suite 301
Professional Office Park
San Juan, PR 00926 - Phone
- (787) 641-0773
- Fax
- (787) 641-0073
- NPI assigned
- Jul 21, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 10376 | PR | Primary |
Addresses
Primary practice location
996 Calle San Roberto Edificio 5 Suite 301
Professional Office Park
San Juan, PR 00926
Mailing address
996 Calle San Roberto Edificio 5 Suite 301
Professional Office Park
San Juan, PR 00926
Phone (787) 641-0773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10376 | Medicaid | PR |
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 |
|---|---|---|---|
| 10376 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416355200000",
"number": "1598078339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "996 CALLE SAN ROBERTO EDIFICIO 5 SUITE 301",
"address_2": "PROFESSIONAL OFFICE PARK",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-641-0773",
"fax_number": "787-641-0073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "996 CALLE SAN ROBERTO EDIFICIO 5 SUITE 301",
"address_2": "PROFESSIONAL OFFICE PARK",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-641-0773",
"fax_number": "787-641-0073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "ELIMAR",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-21",
"last_updated": "2014-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "10376",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10376",
"state": "PR"
}
],
"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 Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.