Individual provider Active NPI

Heliodoro Ruiz, MD

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1831529932
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1275 Issued in FL
Practice address
4218 E 4TH Ave
Hialeah, FL 33013-2306
Phone
(305) 266-2929
Fax
(786) 558-0242
NPI assigned
Nov 26, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 09-236
General Practice Physician 208D00000X ACN1275 FL Primary

Addresses

Primary practice location

4218 E 4TH Ave
Hialeah, FL 33013-2306

Mailing address

8752 SW 2ND Ter
Miami, FL 33174-3937
Phone (786) 419-6202

Other practice location 1

3661 S Miami Ave
suite 708
Miami, FL 33133-4236
Phone (305) 858-9879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210106000746 FL Practitioner - General Practice 6608289921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centrum Medical Holdings, LLCGroup PAC ID 8820422991, 51 clinicians

Practice addresses (Care Compare)

4218 E 4TH Ave
Hialeah, FL 33013-2306
Phone (305) 266-2929

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN1275FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centrum Medical Holdings, LLC CurrentSince Dec 7, 2020 Accepting new patients
Med Care Centers LLC CurrentSince May 7, 2024 Accepting new patients
Medcare Centers, LLC CurrentSince May 7, 2024 Accepting new patients
Centrum Medical Centers Kendall, LLC CurrentSince Dec 7, 2020 Accepting new patients
Centrum Medical Holdings, LLC Current Accepting new patients

Locations

10980 SW 184th St
Cutler Bay, FL 33157
Phone (305) 266-2928

9250 NW 36th St
Ste 420
Doral, FL 33178
Phone (786) 873-1805

900 W 49th St
Ste 308
Hialeah, FL 33012
Phone (305) 558-6622

900 W 49th St
Ste 206
Hialeah, FL 33012
Phone (305) 571-6292

900 W 49th St
Ste 101
Hialeah, FL 33012

4218 E 4th Ave
Hialeah, FL 33013
Phone (305) 828-1971

28610 SW 157th Ave
Homestead, FL 33033
Phone (786) 873-1805

7200 NW 7th St
Ste 150
Miami, FL 33126
Phone (305) 264-6270

434 SW 12th Ave
Ste 100
Miami, FL 33130

11825 SW 26th St
Miami, FL 33175
Phone (786) 447-4582

4767 NW 183rd St
Miami Gardens, FL 33055
Phone (305) 351-9337

5730 SW 74th St
Ste 200
South Miami, FL 33143

Interoperability endpoints

  • Direct secure messaging: hruiz98787@direct.med.miami.edu

Organizations & group practices 5

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": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1831529932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8752 SW 2ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743937",
            "telephone_number": "786-419-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330132306",
            "telephone_number": "305-266-2929",
            "fax_number": "786-558-0242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3661 S Miami Ave",
            "address_2": "suite 708",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331334236",
            "country_code": "US",
            "telephone_number": "305-858-9879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "HELIODORO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-26",
        "last_updated": "2020-11-30",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": "09-236",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.