Individual provider Active NPI

Celina Ann Ruiz, O.D.

  • Optometrist
  • Coral Gables, FL
National Provider Identifier
1861844524
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 5311 Issued in FL
Practice address
370 San Lorenzo Ave Ste 2415
Coral Gables, FL 33146-1869
Phone
(305) 461-1808
NPI assigned
Jul 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X OPC 5311 FL Primary

Addresses

Primary practice location

370 San Lorenzo Ave Ste 2415
Coral Gables, FL 33146-1869

Mailing address

355 NE 93Rd St
Miami Shores, FL 33138-2854
Phone (786) 514-5495

Other practice location 1

3015 Grand Ave Ste 111
Miami, FL 33133-5149
Phone (786) 216-7850

Other identifiers 1

IdentifierTypeStateIssuer
OPC5311OtherFLOPTOMETRY LICENSE

Other names 1

  • Dr. Celina Ann Diego Former name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170227000475 FL Practitioner - Optometry 3476837030 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 5311FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optometry Associates, LLC Optometrist CurrentSince Apr 1, 2024 Accepting new patients
University of Miami Past Accepting new patients

Locations

8600 NW 41st St
Ste 101
Doral, FL 33166
Phone (786) 835-0428

Organizations & group practices 2

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": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1861844524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 NE 93RD ST",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382854",
            "telephone_number": "786-514-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 SAN LORENZO AVE STE 2415",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461869",
            "telephone_number": "305-461-1808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3015 Grand Ave Ste 111",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331335149",
            "country_code": "US",
            "telephone_number": "786-216-7850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "CELINA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 5311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "OPC5311",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CELINA",
            "last_name": "DIEGO",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.