Active NPI
David Ruiz
- Speech-Language Pathologist
- Pharr, TX
National Provider Identifier
1770716250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 105059
- Practice address
- 912 E Nolana Loop
Suite H
Pharr, TX 78577-5838 - Phone
- (956) 566-0722
- Fax
- (956) 720-0882
- NPI assigned
- Aug 31, 2009
- Last updated
- Sep 16, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 105059 | TX | Primary |
Addresses
Primary practice location
912 E Nolana Loop
Suite H
Pharr, TX 78577-5838
Mailing address
912 E Nolana Loop
Suite H
Pharr, TX 78577-5838
Phone (956) 566-0722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149229001 | Medicaid | TX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105059 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379289600000",
"number": "1770716250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 E NOLANA LOOP",
"address_2": "SUITE H",
"city": "PHARR",
"state": "TX",
"postal_code": "785775838",
"telephone_number": "956-566-0722",
"fax_number": "956-720-0882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 E NOLANA LOOP",
"address_2": "SUITE H",
"city": "PHARR",
"state": "TX",
"postal_code": "785775838",
"telephone_number": "956-566-0722",
"fax_number": "956-720-0882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-31",
"last_updated": "2013-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "105059",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149229001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pharr, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.