Organization Active NPI

Gutierrez Ruiz MD PA

  • Specialist
  • Hialeah, FL
National Provider Identifier
1720183676
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME92389 Issued in FL
Legal business name
GUTIERREZ RUIZ MD PA
Practice address
1949 W 68TH St
Hialeah, FL 33014-4403
Phone
(305) 828-9100
Fax
(305) 828-5553
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Karelia Ruiz, MD
Title
President
Phone
(305) 828-9100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME92976 FL
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME92389 FL Primary

Addresses

Primary practice location

1949 W 68TH St
Hialeah, FL 33014-4403

Mailing address

1949 W 68TH St
Hialeah, FL 33014-4403
Phone (305) 828-9100

Other identifiers 1

IdentifierTypeStateIssuer
274010900MedicaidFL

National Provider Directory

National Provider Directory

Locations

1949 W 68th St
Hialeah, FL 33014
Phone (305) 828-9100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1720183676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 W 68TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144403",
            "telephone_number": "305-828-9100",
            "fax_number": "305-828-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 W 68TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144403",
            "telephone_number": "305-828-9100",
            "fax_number": "305-828-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTIERREZ RUIZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "KARELIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-828-9100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME92976",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME92389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274010900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.