Edwin A Mora-Ruiz, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

8838 Issued in PR

Practice address

66 Calle Santa Cruz
Suite 503
Bayamon, PR 00961-7041

Phone

(787) 740-1011

Fax

(787) 740-1008

NPI assigned

Mar 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal MedicineAlso: Nephrology

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CDT GMSP IncGroup PAC ID 1355317751, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• CDT GMSP Inc

  • Federally Qualified Health Center (FQHC)
  • Bayamon, PR
  • NPI 1417922972
  Medicare reassignment Care Compare group
• Nefrology & Medical Services PSC

  • Medical Specialty Clinic/Center
  • Bayamon, PR
  • NPI 1619236171
  NPD (past) Authorized official
• CDT GMSP, Inc

  • Federally Qualified Health Center (FQHC)
  • Bayamon, PR
  • NPI 1790750529
  NPD

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1801929518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9220",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009609220",
            "telephone_number": "787-740-1011",
            "fax_number": "787-740-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CALLE SANTA CRUZ",
            "address_2": "SUITE 503",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617041",
            "telephone_number": "787-740-1011",
            "fax_number": "787-740-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA-RUIZ",
        "first_name": "EDWIN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "8838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "0080001",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manuel Alberto Montalvo, M.D.
• Efrain Montanez, DMD
• Rufino Montanez, M.D.
• Daisy Montes
• Mayra E Montes, RD
• Jose L. Morales Alvarado Sr., MD
• Jadalis Morales Crespo
• Morales Dental Care LLC
• Morales Dental Office PSC
• Carmen Julia Morales Fuentes, B.S.W.

• Nephrology Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Nephrology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.