Active NPI
Laneisha M Ruiz
- Physical Therapist
- Aguada, PR
National Provider Identifier
1639556277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4510
- Practice address
- 411 Sector Paseo de Las Flores
Aguada, PR 00602-0086 - Phone
- (787) 430-6286
- NPI assigned
- May 4, 2015
- Last updated
- May 4, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4510 | PR | Primary |
Addresses
Primary practice location
411 Sector Paseo de Las Flores
Aguada, PR 00602-0086
Mailing address
PO Box 86
Aguada, PR 00602-0086
Phone (787) 430-6286
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 |
|---|---|---|---|
| 4510 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430697600000",
"number": "1639556277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 86",
"city": "AGUADA",
"state": "PR",
"postal_code": "006020086",
"telephone_number": "787-430-6286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 SECTOR PASEO DE LAS FLORES",
"city": "AGUADA",
"state": "PR",
"postal_code": "006020086",
"telephone_number": "787-430-6286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "LANEISHA",
"middle_name": "M",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-04",
"last_updated": "2015-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "4510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aguada, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.