Active NPI
Edgardo Ruiz
- Mental Health Counselor
- Palm Springs, FL
National Provider Identifier
1871974881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 25 248 889
- Practice address
- 2112 S Congress Ave
Palm Springs, FL 33406-7670 - Phone
- (561) 653-6292
- NPI assigned
- Jun 16, 2015
- Last updated
- Dec 9, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 25 248 889 | PA | Primary |
Addresses
Primary practice location
2112 S Congress Ave
Palm Springs, FL 33406-7670
Mailing address
3137 Robbins Ave Apt 2
Philadelphia, PA 19149-3114
Phone (267) 338-9944
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25 248 889 | PA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449619200000",
"number": "1871974881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3137 ROBBINS AVE APT 2",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191493114",
"telephone_number": "267-338-9944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2112 S CONGRESS AVE",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334067670",
"telephone_number": "561-653-6292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "EDGARDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-16",
"last_updated": "2015-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "25 248 889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.