Individual provider Active NPI

Marcos Gabriel Andujar Ruiz, RN, BSN

  • Psychiatric/Mental Health Registered Nurse
  • San Juan, PR
National Provider Identifier
1598516148
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
97757 Issued in PR
Practice address
1414 Calle Americo Salas Apt 802
San Juan, PR 00909-2129
Phone
(939) 318-6465
NPI assigned
Apr 1, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 97757 PR
Critical Care Medicine Registered Nurse 163WC0200X 97757 PR
Psychiatric/Mental Health Registered Nurse 163WP0808X 97757 PR Primary

Addresses

Primary practice location

1414 Calle Americo Salas Apt 802
San Juan, PR 00909-2129

Mailing address

1414 Calle Americo Salas Apt 802
San Juan, PR 00909-2129
Phone (939) 318-6465

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
97757PRMDAddiction (Substance Use Disorder) Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1598516148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 CALLE AMERICO SALAS APT 802",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092129",
            "telephone_number": "939-318-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 CALLE AMERICO SALAS APT 802",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092129",
            "telephone_number": "939-318-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDUJAR RUIZ",
        "first_name": "MARCOS",
        "middle_name": "GABRIEL",
        "name_prefix": "Mr.",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "PR",
            "license": "97757",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "PR",
            "license": "97757",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "PR",
            "license": "97757",
            "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 Apr 1, 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.