Juan A Medina Ruiz Sr., MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

21988 Issued in PR

Practice address

Condominio Guamani Gardens Carr 179 H.0 Barrio Guamani
Apt 7
Guayama, PR 00784-0000

Phone

(787) 204-4372

NPI assigned

Sep 23, 2020

Last updated

Oct 1, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Hospital Menonita de Cayey

  • General Acute Care Hospital
  • Cayey, PR
  • NPI 1750317764
  Medicare reassignment NPD
• Integrate Community Health System

  dba Metro Pavia Clinic Humacao

  • Community Health Clinic/Center
  • Humacao, PR
  • NPI 1467674713
  Medicare reassignment NPD
• Hospital Menonita de Cayey

  dba Grupo Medico Menonita de Cayey

  • Specialist
  • Cayey, PR
  • NPI 1255461893

  General Practice

  NPD
• Integrate Community Health System

  dba Metro Pavia Clinic Carolina

  • Internal Medicine Physician
  • Carolina, PR
  • NPI 1992927289

  General Practice

  NPD
• Integrate Community Health System, Inc.

  dba Metro Pavia Clinic Aguadilla - Lab

  • Clinical Medical Laboratory
  • Aguadilla, PR
  • NPI 1821502519
  NPD

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1629684733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10007 SUITE 420",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007854007",
            "telephone_number": "787-204-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONDOMINIO GUAMANI GARDENS CARR 179 H.0 BARRIO GUAMANI",
            "address_2": "APT 7",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007840000",
            "telephone_number": "787-204-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA RUIZ",
        "first_name": "JUAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Martinez, MD
• Alberth Matos Rodriguez
• Rosangela Medellin Solivan
• Francisco Javier Medellinhuertas, M.D.
• Medical Doctors With Alternative Therapies, PSC
• Emmanuel Medina, 1666P
• Lianne Stephanie Melendez Cora, PHARMD
• Luis R Melendez del Valle, MD
• Luis Antonio Melendez, M.D.
• Mennonite General Hospital Inc. (Centro de Salud Conductual Menonita CIMA-Guayama)

• General Practice Physician in Guayama, PR
• Providers in Guayama, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.

Verify at the official NPI Registry.