Individual provider Active NPI

Benjamin Menendez Ruiz, MD

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1669580452
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14541 Issued in PR
Practice address
Cond the Towers 10 Calle Las Rosas
Apt 1706
Bayamon, PR 00961-7042
Phone
(787) 649-7693
Fax
(787) 883-4434
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14541 PR Primary

Addresses

Primary practice location

Cond the Towers 10 Calle Las Rosas
Apt 1706
Bayamon, PR 00961-7042

Mailing address

Cond the Towers 10 Calle Las Rosas
Apt 1706
Bayamon, PR 00961-7042
Phone (787) 649-7693

Other identifiers 1

IdentifierTypeStateIssuer
14541OtherPRSTATE LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040323000025 PR Practitioner - General Practice 9234020991 Practice locations: Vega Alta, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1669580452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND THE TOWERS 10 CALLE LAS ROSAS",
            "address_2": "APT 1706",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617042",
            "telephone_number": "787-649-7693",
            "fax_number": "787-883-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND THE TOWERS 10 CALLE LAS ROSAS",
            "address_2": "APT 1706",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617042",
            "telephone_number": "787-649-7693",
            "fax_number": "787-883-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENENDEZ RUIZ",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "14541",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.