Federico Ruiz Nicoli

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22574 Issued in PR

Practice address

1521 Calle Espadachin, El Legado Golf Resort
Apt 1521
Guayama, PR 00784

Phone

(971) 208-8359

NPI assigned

Nov 19, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: federico.ruiz.p1@direct.vitacare.nextgenshare.com

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1730846221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10470 SW CLYDESDALE PL",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235251",
            "telephone_number": "971-208-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 CALLE ESPADACHIN, EL LEGADO GOLF RESORT",
            "address_2": "APT 1521",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "971-208-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ NICOLI",
        "first_name": "FEDERICO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando Luis Rosario, O.D.
• Ines Victoria Rosario
• Lorenzo Emilio Ross Rivera, M.D.
• RSMD Medical Services LLC
• Victor E Ruemmele, MPSYC
• Maria Del Socorro Ruiz-Montanez, RPH
• Erika Ruiz, PHARMD
• San Juan Vamc
• Maria del Mar Sanchez Gonzalez, PHARMD
• Gustavo R Sanchez, MD

• General Practice Physician in Guayama, PR
• Providers in Guayama, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.