Individual provider Active NPI

Karla Michelle Ruiz Vega, MD

  • Colon & Rectal Surgery Physician
  • San Juan, PR
National Provider Identifier
1740699933
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
21838 Issued in PR
Practice address
435 Ave Ponce de Leon Hospital Pavia Hato Rey
Third Floor
San Juan, PR 00917
Phone
(787) 641-2323
NPI assigned
Aug 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 21838 PR
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X 21838 PR Primary

Addresses

Primary practice location

435 Ave Ponce de Leon Hospital Pavia Hato Rey
Third Floor
San Juan, PR 00917

Mailing address

404 Ave Constitucion Apt 2201
San Juan, PR 00901-2261
Phone (787) 294-1525

Other practice location 1

Centro Medico De Puerto Rico
Barrio Monacillos
San Juan, PR 00935-0001
Phone (787) 777-3535

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
I20220222001665 PR Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 0749674513 Reassigns benefits to 2 organizations
Practice locations: San Juan, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21838PRMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Single Specialty CurrentSince Jun 1, 2023 Accepting new patients
Recinto de Ciencias Medicas Single Specialty CurrentSince Jun 1, 2023 Accepting new patients
Departamento de Salud Oficial Past Accepting new patients

Locations

BO Monacillos Centro Medico De
San Juan, PR 00935
Phone 78775825252379

BO Monacillos Centro Med
San Juan, PR 00935
Phone (787) 763-2440

BO Monacillos
San Juan, PR 00935

BO Monacillos Centro Medico De Puerto Rico
San Juan, PR 00935
Phone (781) 763-4149

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1740699933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 AVE CONSTITUCION APT 2201",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009012261",
            "telephone_number": "787-294-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 AVE PONCE DE LEON HOSPITAL PAVIA HATO REY",
            "address_2": "THIRD FLOOR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-641-2323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Centro Medico De Puerto Rico",
            "address_2": "Barrio Monacillos",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009350001",
            "country_code": "US",
            "telephone_number": "787-777-3535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ VEGA",
        "first_name": "KARLA",
        "middle_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-13",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "21838",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "PR",
            "license": "21838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.