Individual provider Active NPI

Carmen Rocio Rodriguez Ruiz, M.D.

  • General Practice Physician
  • Guaynabo, PR
National Provider Identifier
1619170842
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14611 Issued in PR
Practice address
2114 Calle Mileto
Alto Apolo
Guaynabo, PR 00969-4928
Phone
(787) 579-0055
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14611 PR Primary

Addresses

Primary practice location

2114 Calle Mileto
Alto Apolo
Guaynabo, PR 00969-4928

Mailing address

2114 Calle Mileto
Alto Apolo
Guaynabo, PR 00969-4928
Phone (787) 579-0055

Other names 1

  • Dr. Rocio R. Souchet Other name

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14611PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190592000000",
    "number": "1619170842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 CALLE MILETO",
            "address_2": "ALTO APOLO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694928",
            "telephone_number": "787-579-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 CALLE MILETO",
            "address_2": "ALTO APOLO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694928",
            "telephone_number": "787-579-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ RUIZ",
        "first_name": "CARMEN ROCIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROCIO",
            "last_name": "SOUCHET",
            "middle_name": "R.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.