Individual provider Active NPI

Carlos E Ruiz, MD

  • Anesthesiology Physician
  • San Juan, PR
National Provider Identifier
1699752519
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
13406 Issued in PR
Practice address
150 Ave de Diego Ste 300
San Juan, PR 00907-2322
Phone
(787) 729-0606
Fax
(787) 729-4242
NPI assigned
Dec 30, 2005
Last updated
Feb 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 13406 PR Primary

Addresses

Primary practice location

150 Ave de Diego Ste 300
San Juan, PR 00907-2322

Mailing address

Urb Garden Hill Norte
J2 Calle Club Drive
Guaynabo, PR 00966
Phone (787) 528-0937

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
I20170508002596 PR Practitioner - Anesthesiology 7012294663 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anestesia 2000 Anesthesiology CurrentSince Nov 2, 2022 Accepting new patients
Instituto de Podiatria Y Pie Diabetico de Puerto Rico Past Accepting new patients

Locations

100 Calle Betances
Caguas, PR 00725
Phone (787) 729-0606

1494 Ave Fd Roosevelt
Ste 101
San Juan, PR 00920
Phone (787) 729-0606

150 Ave de Diego
Ste 300
San Juan, PR 00907
Phone (787) 547-9834

Organizations & group practices 3

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1699752519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB GARDEN HILL NORTE",
            "address_2": "J2 CALLE CLUB DRIVE",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-528-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 AVE DE DIEGO STE 300",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009072322",
            "telephone_number": "787-729-0606",
            "fax_number": "787-729-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "CARLOS",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "13406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.