NPIMap

Individual provider Active NPI

Esteban Alfonzo Ruiz, MD

  • Internal Medicine Physician
  • Hudson, FL
National Provider Identifier
1740226794
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME53805 Issued in FL
Practice address
13910 Fivay Rd Ste 15
Hudson, FL 34667-7130
Phone
(727) 484-6169
Fax
(727) 484-6173
NPI assigned
Jun 20, 2006
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME53805 FL Primary

Addresses

Primary practice location

13910 Fivay Rd Ste 15
Hudson, FL 34667-7130

Mailing address

13910 Fivay Rd Ste 15
Hudson, FL 34667-7130
Phone (727) 484-6169

Other identifiers 4

IdentifierTypeStateIssuer
0527859OtherFLAETNA
07434OtherFLBC/BS
049101200MedicaidFL
1174793871OtherFLNPI GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120423000637 FL Practitioner - Internal MedicinePractitioner - General Surgery 2466613369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Surgery
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13910 Fivay Rd
Suite 15
Hudson, FL 34667-7130
Phone (727) 484-6169

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Esteban Alfonzo Ruiz MD,PA Internal Medicine CurrentSince Nov 2, 1995 Accepting new patients

Locations

13910 Fivay Rd
Ste 15
Hudson, FL 34667
Phone (727) 484-6169

8813 River Crossing Blvd
New Prt Rchy, FL 34655
Phone (727) 375-1953

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: alfonzo.ruiz@aruiz.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DCCDCA/Endpoint/DCCDCA

Organizations & group practices 2

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1740226794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13910 FIVAY RD STE 15",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677130",
            "telephone_number": "727-484-6169",
            "fax_number": "727-484-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13910 FIVAY RD STE 15",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677130",
            "telephone_number": "727-484-6169",
            "fax_number": "727-484-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "ESTEBAN",
        "middle_name": "ALFONZO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME53805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0527859",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "07434",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049101200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP",
            "identifier": "1174793871",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

Verify at the official NPI Registry.