Individual provider Active NPI

Luz Tarina Ruiz Velez, M.D.

  • General Practice Physician
  • Penuelas, PR
National Provider Identifier
1679647903
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
13935 Issued in PR
Practice address
805 Calle Munoz Rivera
Penuelas, PR 00624-1402
Phone
(787) 836-1127
NPI assigned
Nov 20, 2006
Last updated
Mar 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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 13935 PR Primary

Addresses

Primary practice location

805 Calle Munoz Rivera
Penuelas, PR 00624-1402

Mailing address

PO Box 561
Yauco, PR 00698-0561
Phone (787) 836-1127

Other names 1

  • Luz Tarina Ruiz Velez Former name

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
I20040121000481 PR Practitioner - General Practice 3476455544 Practice locations: Penuelas, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13935PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1679647903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006980561",
            "telephone_number": "787-836-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 CALLE MUNOZ RIVERA",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "006241402",
            "telephone_number": "787-836-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ VELEZ",
        "first_name": "LUZ",
        "middle_name": "TARINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUZ",
            "last_name": "RUIZ VELEZ",
            "middle_name": "TARINA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Penuelas, PR

Sources for this page

Verify at the official NPI Registry.