Active NPI
Oscar Damian Ruiz, 246ZC0007X
- Surgical Assistant
- Hialeah, FL
National Provider Identifier
1851051387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 21-655
- Practice address
- 6708 NW 190TH St
Hialeah, FL 33015-2460 - Phone
- (305) 492-3746
- NPI assigned
- Dec 24, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 21-655 | WI | Primary |
Addresses
Primary practice location
6708 NW 190TH St
Hialeah, FL 33015-2460
Mailing address
300 E 1St Ave # 101
Hialeah, FL 33010-4808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21-655 | Other | FL | 21-655 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21-655 | WI | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640304000000",
"number": "1851051387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E 1ST AVE # 101",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330104808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6708 NW 190TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330152460",
"telephone_number": "305-492-3746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "OSCAR",
"middle_name": "DAMIAN",
"credential": "246ZC0007X",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-24",
"last_updated": "2021-12-24",
"certification_date": "2021-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "WI",
"license": "21-655",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "21-655",
"identifier": "21-655",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.