Individual provider Active NPI

Hendryck Ruiz, M.D.

  • Adult Medicine Physician
  • Yauco, PR
National Provider Identifier
1790741437
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
13681 Issued in PR
Practice address
Baldorioty St. No.18-2
Yauco, PR 00698
Phone
(787) 594-4035
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 13681 PR Primary

Addresses

Primary practice location

Baldorioty St. No.18-2
Yauco, PR 00698

Mailing address

Jose de Diego Street
P.O. Box 832
Boqueron, PR 00622-0832
Phone (787) 851-6335

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
I20040423000795 PR Practitioner - Family Practice 4880680834 Practice locations: Yauco, PR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18 Calle Baldorioty
Suite 2
Yauco, PR 00698-3674
Phone (787) 856-6600

Hospital & facility affiliations

  • Hospital Pavia Yauco Hospital, Yauco, PR, CCN 400110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13681PRMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Vacunacion Policlinica Dr. Radames Marin, Inc. Past Accepting new patients
Policlinica Dr. Radames Marin Inc PastSince Aug 23, 1993 Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1790741437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JOSE DE DIEGO STREET",
            "address_2": "P.O. BOX 832",
            "city": "BOQUERON",
            "state": "PR",
            "postal_code": "006220832",
            "telephone_number": "787-851-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BALDORIOTY ST. NO.18-2",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "00698",
            "telephone_number": "787-594-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "HENDRYCK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PR",
            "license": "13681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yauco, PR

Sources for this page

Verify at the official NPI Registry.