Individual provider Active NPI

Danny Ruiz

  • Clinic/Center
  • Coral Gables, FL
National Provider Identifier
1659907848
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MM40432 Issued in FL
Practice address
3990 W Flagler St Ste 205
Coral Gables, FL 33134-1644
Phone
(786) 618-5151
Fax
(786) 618-5143
NPI assigned
Mar 19, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MM40432 FL Primary

Addresses

Primary practice location

3990 W Flagler St Ste 205
Coral Gables, FL 33134-1644

Mailing address

3990 W Flagler St Ste 205
Coral Gables, FL 33134-1644
Phone (786) 618-5151

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL MIAMI Direct

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

LicenseStateTypeSpecialty
MM40432FLMDClinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1659907848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 W FLAGLER ST STE 205",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341644",
            "telephone_number": "786-618-5151",
            "fax_number": "786-618-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 W FLAGLER ST STE 205",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341644",
            "telephone_number": "786-618-5151",
            "fax_number": "786-618-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "DANNY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "MM40432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MIAMI",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3990 W Flagler St Ste 205",
            "city": "Coral Gables",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331341644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.