Active NPI
Andy Rafael Ruiz, DC
- Rehabilitation Chiropractor
- Cayey, PR
National Provider Identifier
1902569171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 805
- Practice address
- Centro Comercial Plaza Miliangie Bo. Montellano Carr 14
Local 5
Cayey, PR 00736 - Phone
- (787) 310-8748
- NPI assigned
- Oct 14, 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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 805 | PR | Primary |
Addresses
Primary practice location
Centro Comercial Plaza Miliangie Bo. Montellano Carr 14
Local 5
Cayey, PR 00736
Mailing address
PO Box 10015
Cidra, PR 00739-9015
Phone (787) 310-8748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 805 | PR | MD | Prosthodontist |
| 000805 | PR | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Rehab Chiropractic, LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Cayey, PR
- NPI 1326703992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634169600000",
"number": "1902569171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10015",
"city": "CIDRA",
"state": "PR",
"postal_code": "007399015",
"telephone_number": "787-310-8748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CENTRO COMERCIAL PLAZA MILIANGIE BO. MONTELLANO CARR 14",
"address_2": "LOCAL 5",
"city": "CAYEY",
"state": "PR",
"postal_code": "00736",
"telephone_number": "787-310-8748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "ANDY",
"middle_name": "RAFAEL",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-14",
"last_updated": "2021-10-14",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "PR",
"license": "805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cayey, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.