Individual provider Active NPI

Queenland Morales-Ruz, M.D.

  • Specialist
  • Vega Baja, PR
National Provider Identifier
1689862039
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4214 Issued in PR
Practice address
14 Calle Marlin Azul
Vega Baja, PR 00693-3561
Phone
(787) 448-7328
Fax
(787) 858-3303
NPI assigned
Oct 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4214 PR Primary

Addresses

Primary practice location

14 Calle Marlin Azul
Vega Baja, PR 00693-3561

Mailing address

PO Box 1485
Vega Baja, PR 00694-1485
Phone (787) 448-7328

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
I20140528000490 PR Order and Referring Only - General PracticePractitioner - Family PracticePractitioner - General Practice 7810110517

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4214PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1689862039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1485",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006941485",
            "telephone_number": "787-448-7328",
            "fax_number": "787-858-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CALLE MARLIN AZUL",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006933561",
            "telephone_number": "787-448-7328",
            "fax_number": "787-858-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES-RUZ",
        "first_name": "QUEENLAND",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "4214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

Verify at the official NPI Registry.