Active NPI
Alexandra Rodriguez Ruiz, MD
- General Practice Physician
- Canovanas, PR
National Provider Identifier
1679196547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 22385
- Practice address
- Calle Bauhinia Local Aa3 Loiza Valley Mall
Canovanas, PR 00729 - Phone
- (787) 876-3007
- Fax
- (787) 876-2736
- NPI assigned
- May 26, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 22385 | PR | Primary |
Addresses
Primary practice location
Calle Bauhinia Local Aa3 Loiza Valley Mall
Canovanas, PR 00729
Mailing address
Via Amanecer PG 27 Pacifica
Trujillo Alto, PR 00976
Phone (787) 394-1499
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220721003890 | PR | Practitioner - General Practice | 2769863752 | Practice locations: Canovanas, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctores R Ruiz LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1679196547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VIA AMANECER PG 27 PACIFICA",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "00976",
"telephone_number": "787-394-1499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE BAUHINIA LOCAL AA3 LOIZA VALLEY MALL",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "00729",
"telephone_number": "787-876-3007",
"fax_number": "787-876-2736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ RUIZ",
"first_name": "ALEXANDRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-26",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "22385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canovanas, PR
- Nelsa Rodriguez Cespedes, MD
- Fidel Joel Rodriguez Cruz, OD
- Karina Ivonne Rodriguez Gonzalez, MD
- Noeimee Rodriguez Rivera
- Sandra Raquel Rodriguez Rosario, M.D.
- Hector C. Rodriguez-Phipps, MD
- Jose Rodriguez, PH.D.
- Maria De Los Angeles Rodriguez, MD
- Yazmin Yadira Roman Perez
- Angelica Maria Roman Rodriguez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.