Individual provider Active NPI

Patricia Santana Ruiz, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1619270345
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18619 Issued in PR
Practice address
474 Calle de Diego
Cond de Diego Chalets Apt 61
San Juan, PR 00923-3101
Phone
(787) 613-3234
NPI assigned
Dec 20, 2010
Last updated
Dec 2, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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 18619 PR Primary

Addresses

Primary practice location

474 Calle de Diego
Cond de Diego Chalets Apt 61
San Juan, PR 00923-3101

Mailing address

474 Calle de Diego
Cond de Diego Chalets Apt 61
San Juan, PR 00923-3101
Phone (787) 613-3234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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
I20140127000237 PR Practitioner - General Practice 1658500442 Practice locations: San Juan, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18619PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1619270345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 CALLE DE DIEGO",
            "address_2": "COND DE DIEGO CHALETS APT 61",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009233101",
            "telephone_number": "787-613-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 CALLE DE DIEGO",
            "address_2": "COND DE DIEGO CHALETS APT 61",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009233101",
            "telephone_number": "787-613-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA RUIZ",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-20",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.