Individual provider Active NPI

Sonia Margarita Ruiz, MD

  • Pediatrics Physician
  • Valrico, FL
National Provider Identifier
1629208905
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME45712 Issued in FL
Practice address
4316 Bell Shoals Rd
Valrico, FL 33596-7171
Phone
(813) 684-1881
Fax
(813) 685-0471
NPI assigned
Jul 21, 2009
Last updated
Jul 21, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME45712 FL Primary

Addresses

Primary practice location

4316 Bell Shoals Rd
Valrico, FL 33596-7171

Mailing address

4316 Bell Shoals Rd
Valrico, FL 33596-7171
Phone (813) 684-1881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20140731000770 FL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 3577789346

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomingdale Pediatric Ass PA Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JAIAED/Endpoint/JAIAED

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1629208905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 BELL SHOALS RD",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335967171",
            "telephone_number": "813-684-1881",
            "fax_number": "813-685-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 BELL SHOALS RD",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335967171",
            "telephone_number": "813-684-1881",
            "fax_number": "813-685-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "SONIA",
        "middle_name": "MARGARITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME45712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

Sources for this page

Verify at the official NPI Registry.