Active NPI
Laura Natalia Marin Ruiz
- Student in an Organized Health Care Education/Training Program
- Farmington, CT
National Provider Identifier
1619775822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 84833
- Practice address
- 263 Farmington Ave
Farmington, CT 06030-0002 - Phone
- (860) 679-2000
- NPI assigned
- Mar 4, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 84833 | CT | Primary |
| Dentist | 122300000X | DL100638 | MA |
Addresses
Primary practice location
263 Farmington Ave
Farmington, CT 06030-0002
Mailing address
1 Pheasant Way
Pittsfield, MA 01201-9123
Phone (904) 450-0155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DL100638 | MA | MD | Dentist |
| 84833 | CT | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- laura.marin.ruiz.1@3792.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782000000000",
"number": "1619775822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PHEASANT WAY",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012019123",
"telephone_number": "904-450-0155",
"fax_number": "904-450-0155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060300002",
"telephone_number": "860-679-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIN RUIZ",
"first_name": "LAURA",
"middle_name": "NATALIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-04",
"last_updated": "2026-06-21",
"certification_date": "2026-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CT",
"license": "84833",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DL100638",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.