Individual provider Active NPI

Ricardo Ruiz, M.D.

  • General Practice Physician
  • San Sebastian, PR
National Provider Identifier
1790989036
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
8398 Issued in PR
Practice address
Ave. Emerito Estrada Rivera # 901
San Sebastian, PR 00685
Phone
(787) 896-7338
Fax
(787) 896-7338
NPI assigned
Jun 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 8398 PR Primary

Addresses

Primary practice location

Ave. Emerito Estrada Rivera # 901
San Sebastian, PR 00685

Mailing address

PO Box 5446
San Sebastian, PR 00685-5446
Phone (787) 896-7338

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
I20081023000894 PR Practitioner - General Practice 3476502543 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8398PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rinor Servicios Medicos CSP General Practice CurrentSince Jan 2, 2013 Accepting new patients
Centro de Diagnostico Y Tratamiento de San Sebastian Inc Past Accepting new patients
Family Health Group S.S.C.S.P General Practice Past Accepting new patients
Family Health Group Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1790989036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5446",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006855446",
            "telephone_number": "787-896-7338",
            "fax_number": "787-896-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. EMERITO ESTRADA RIVERA # 901",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-896-7338",
            "fax_number": "787-896-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "RICARDO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "8398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

Verify at the official NPI Registry.