Patrick Marcelino Tineo Ruiz

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

CHW11512 Issued in MA

Practice address

10 Loring St Apt 1
Worcester, MA 01606-3575

Phone

(646) 322-6349

NPI assigned

May 15, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Medical Assistant

State licenses

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1669263935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LORING ST APT 1",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016063575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LORING ST APT 1",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016063575",
            "telephone_number": "646-322-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINEO RUIZ",
        "first_name": "PATRICK",
        "middle_name": "MARCELINO",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-15",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MA",
            "license": "CHW11512",
            "primary": true
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Timme, BSN, RN
• Phrynee Timmer, CRNA
• Louise Timmons
• Wendy L Timpson, M.D.
• Natalie Tincknell, MSW
• Susana Tirado
• Sandra E Tirrell, M.D.
• Charlotte Tisch, MD
• Jonathan M Tisdell, MD
• Julia M. Titus

• Community Health Worker in Worcester, MA
• Providers in Worcester, MA by specialty
• Community Health Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.