Individual provider Active NPI

Ruben Galarza, M.D.

  • Pediatrics Physician
  • Penuelas, PR
National Provider Identifier
1770638314
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4800 Issued in PR
Practice address
Luis Munoz Rivera
307
Penuelas, PR 00624
Phone
(787) 836-2903
Fax
(787) 836-4298
NPI assigned
Jan 24, 2007
Last updated
Feb 12, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4800 PR Primary

Addresses

Primary practice location

Luis Munoz Rivera
307
Penuelas, PR 00624

Mailing address

PO Box 24
Yauco, PR 00698-0024
Phone (787) 836-2903

Other identifiers 10

IdentifierTypeStateIssuer
203740OtherPRMEDICAL PLAN
2693OtherPRMEDICAL PLAN
3-4800OtherPRMEDICAL PLAN
4104800OtherPRMEDICAL PLAN
7682035OtherPRMEDICAL PLAN
25561OtherPRMEDICAL PLAN
SE4534OtherPRMEDICAL PLAN
02693OtherPRMEDICAL PLAN
06526OtherPRMEDICAL PLAN
25861OtherPRMEDICAL PLAN

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
4800PRMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1770638314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006980024",
            "telephone_number": "787-836-2903",
            "fax_number": "787-836-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LUIS MUNOZ RIVERA",
            "address_2": "307",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "00624",
            "telephone_number": "787-836-2903",
            "fax_number": "787-836-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALARZA",
        "first_name": "RUBEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "4800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PLAN",
            "identifier": "203740",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PLAN",
            "identifier": "2693",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PLAN",
            "identifier": "3-4800",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PLAN",
            "identifier": "4104800",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PLAN",
            "identifier": "7682035",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PLAN",
            "identifier": "25561",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PLAN",
            "identifier": "SE4534",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PLAN",
            "identifier": "02693",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PLAN",
            "identifier": "06526",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PLAN",
            "identifier": "25861",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Penuelas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.