Individual provider Active NPI

Martin L Ruiz, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1821542150
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
019421 Issued in PR
Practice address
269 Calle Jilguero
San Juan, PR 00926-7109
Phone
(787) 508-0899
NPI assigned
Aug 3, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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 019421 PR Primary

Addresses

Primary practice location

269 Calle Jilguero
San Juan, PR 00926-7109

Mailing address

269 Calle Jilguero
San Juan, PR 00926-7109
Phone (787) 508-0899

Other practice location 1

F1-27 Calle C
Mansiones de Villanova
San Juan, PR 00926-6433
Phone (787) 960-3374

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
I20170602002344 PR Practitioner - General Practice 5092082511 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physician Providers LLCGroup PAC ID 9436436706, 18 clinicians

Practice addresses (Care Compare)

1785 Carr
Suite 21
San Juan, PR 00921-3399
Phone (787) 436-0727

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19421PRMDSocial Worker
019421PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico del Turabo Inc General Practice CurrentSince Aug 21, 2016 Accepting new patients
Zenith Health Group LLC CurrentSince Nov 1, 2025 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Aug 21, 2016 Accepting new patients
MM Health Services, LLC. CurrentSince Oct 18, 2025 Accepting new patients
MM Health Services LLC CurrentSince Oct 18, 2025 Accepting new patients
Dla Imaging LLC PastSince Sep 17, 2023 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 8

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 1

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": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1821542150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 CALLE JILGUERO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267109",
            "telephone_number": "787-508-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 CALLE JILGUERO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267109",
            "telephone_number": "787-508-0899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "F1-27 Calle C",
            "address_2": "MANSIONES DE VILLANOVA",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009266433",
            "country_code": "US",
            "telephone_number": "787-960-3374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "MARTIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "019421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.