Active NPI
Andy W Ruiz
- Drama Therapist
- San Juan, PR
National Provider Identifier
1619844537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Drama Therapist
- License
- 391113
- Practice address
- La Casa Ciudadela 1507 Ave Ponce de Leon Suite 101
San Juan, PR 00909 - Phone
- (787) 407-3333
- NPI assigned
- Oct 23, 2025
- Last updated
- Oct 23, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Drama Therapist | 101200000X | 391113 | FL | Primary |
Addresses
Primary practice location
La Casa Ciudadela 1507 Ave Ponce de Leon Suite 101
San Juan, PR 00909
Mailing address
La Casa Ciudadela 1507 Ave Ponce de Leon Suite 101
San Juan, PR 00909
Phone (787) 407-3333
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 |
|---|---|---|---|
| 391113 | FL | MD | Drama Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761177600000",
"number": "1619844537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LA CASA CIUDADELA 1507 AVE PONCE DE LEON SUITE 101",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00909",
"telephone_number": "787-407-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LA CASA CIUDADELA 1507 AVE PONCE DE LEON SUITE 101",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00909",
"telephone_number": "787-407-3333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "ANDY",
"middle_name": "W",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-23",
"last_updated": "2025-10-23",
"certification_date": "2025-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101200000X",
"taxonomy_group": "",
"desc": "Drama Therapist",
"state": "FL",
"license": "391113",
"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 Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.