Individual provider Active NPI

Gamaliel Monge Ruiz, MD, MPH

  • Student in an Organized Health Care Education/Training Program
  • Rio Piedras, PR
National Provider Identifier
1770264376
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
37036-R Issued in PR
Practice address
1008 Ave Americo Miranda
Rio Piedras, PR 00921-2842
Phone
(787) 480-2828
NPI assigned
Jul 26, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 37036-R PR Primary
General Practice Physician 208D00000X 16790 PR

Addresses

Primary practice location

1008 Ave Americo Miranda
Rio Piedras, PR 00921-2842

Mailing address

W3 Calle San Andres
Fajardo, PR 00738-5023
Phone (787) 402-4021

Other practice location 1

Calle 30 SE Esq Calle 23 Capar
San Juan, PR 00935-0001
Phone (787) 783-1545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16790PRMDGeneral Practice Physician
37036-RPRMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1770264376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W3 CALLE SAN ANDRES",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007385023",
            "telephone_number": "787-402-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 AVE AMERICO MIRANDA",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009212842",
            "telephone_number": "787-480-2828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Calle 30 SE Esq Calle 23 Capar",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009350001",
            "country_code": "US",
            "telephone_number": "787-783-1545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONGE RUIZ",
        "first_name": "GAMALIEL",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-26",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "37036-R",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16790",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.