Jose Luis Ruiz MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME066055 Issued in FL

Legal business name

JOSE LUIS RUIZ MD PA

Practice address

11285 SW 211TH St
Ste 304
Cutler Bay, FL 33189-2211

Phone

(305) 971-6883

Fax

(305) 971-6836

NPI assigned

Nov 6, 2007

Last updated

Apr 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jose L Ruiz, MDNPI 1285631408

Title

Director

Phone

(305) 971-6883

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Jose Luis Ruiz MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jose Luis Ruiz MD PA

  • Primary Care Clinic/Center
  • Miami, FL
  • NPI 1740679869
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jose L Ruiz, M.D.

  • General Practice Physician
  • Cutler Bay, FL
  • NPI 1285631408
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1780864991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11285 SW 211TH ST",
            "address_2": "STE 304",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331892211",
            "telephone_number": "305-971-6883",
            "fax_number": "305-971-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11285 SW 211TH ST",
            "address_2": "STE 304",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331892211",
            "telephone_number": "305-971-6883",
            "fax_number": "305-971-6836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE LUIS RUIZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-971-6883",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME066055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373801903",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jolly Home Inc
• Wendy Jones Perez
• Jorge Luna, DO
• Tahimi Jorges Mateos
• Jose Fernandez, M.D.P.a.
• Anncrystel Claire Joseph, APRN
• Itelait Joseph
• Mitchnaider Joseph, MD
• Josette Boukhalil-Laklak MD PA
• Juan P Duarte MD, PA

• Family Medicine Physician in Cutler Bay, FL
• Providers in Cutler Bay, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.