Active NPI
Carlos Ruiz
- Community Health Worker
- Providence, RI
National Provider Identifier
1689569840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 765 Westminster St Ste 205
Providence, RI 02903-4082 - Phone
- (401) 484-1131
- NPI assigned
- Jun 10, 2025
- Last updated
- May 5, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | NU | Primary |
Addresses
Primary practice location
765 Westminster St Ste 205
Providence, RI 02903-4082
Mailing address
765 Westminster St Ste 205
Providence, RI 02903-4082
Phone (401) 484-1131
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CR Community Health Services | Community Health Worker | Current | Accepting new patients |
Locations
765 Westminster St
Ste 205
Providence, RI 02903
Phone (401) 484-1131
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1689569840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 WESTMINSTER ST STE 205",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034082",
"telephone_number": "401-484-1131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 WESTMINSTER ST STE 205",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034082",
"telephone_number": "401-484-1131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "CARLOS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-10",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.