Active NPI
Roberto Ruiz, RDN
- Registered Dietitian
- Doral, FL
National Provider Identifier
1659135556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1262
- Practice address
- 9457 NW 47TH Ter
Doral, FL 33178-2084 - Phone
- (787) 220-6643
- NPI assigned
- Feb 12, 2024
- Last updated
- Feb 12, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | |||
| Registered Dietitian | 133V00000X | 1262 | PR | Primary |
Addresses
Primary practice location
9457 NW 47TH Ter
Doral, FL 33178-2084
Mailing address
9457 NW 47TH Ter
Doral, FL 33178-2084
Phone (787) 220-6643
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 |
|---|---|---|---|
| 1262 | PR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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": "1707696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1659135556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9457 NW 47TH TER",
"city": "DORAL",
"state": "FL",
"postal_code": "331782084",
"telephone_number": "787-220-6643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9457 NW 47TH TER",
"city": "DORAL",
"state": "FL",
"postal_code": "331782084",
"telephone_number": "787-220-6643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "ROBERTO",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-12",
"last_updated": "2024-02-12",
"certification_date": "2024-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "1262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.