Jesus Javier Ruelas I, CPSW

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

1171 Issued in NM

Practice address

1600 Saint Michaels Dr
Santa Fe, NM 87505-7615

Phone

(505) 471-4985

NPI assigned

Jul 12, 2022

Last updated

Jul 12, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Santa Fe Recovery Center Inc

  • Substance Abuse Rehabilitation Facility
  • Santa Fe, NM
  • NPI 1366074247
  NPD

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1871227249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5312 JAGUAR DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875071827",
            "telephone_number": "505-471-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SAINT MICHAELS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057615",
            "telephone_number": "505-471-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUELAS",
        "first_name": "JESUS",
        "middle_name": "JAVIER",
        "name_suffix": "I",
        "credential": "CPSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "NM",
            "license": "1171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather M Rubens, MSW, MPH, LCSW
• Aviva Elise Rubin, FNP
• Lynsey Rubin, LMHC
• Constance Rudnicki, RD
• Stephanie M Rueda, BMS
• Robyn Ruff-Wagner
• Ashley Ruiz
• Chaz Ruiz
• Dante K Ruiz, LPAT
• Gloria Ruiz, MD

• Prevention Professional in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Prevention Professional in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.