Active NPI
Luis H Ruiz Sierra, M.D.
- General Practice Physician
- Mayaguez, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 11197
- Practice address
- 4040 Calle B Ste 4
Mayaguez, PR 00682-1378 - Phone
- (787) 833-5898
- NPI assigned
- Jan 17, 2007
- Last updated
- Jun 13, 2013
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 11197 | PR | Primary |
Addresses
Primary practice location
4040 Calle B Ste 4
Mayaguez, PR 00682-1378
Mailing address
257 Aduana Street
Suite 364
Mayaguez, PR 00682
Phone (787) 833-5898
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11197 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Migrant Health Center Western Region, Inc. | Current | Accepting new patients | |
| Migrant Health Center Western Region, Inc. | Current | Accepting new patients | |
| Migrant Health Center Western Region,Inc | Current | Accepting new patients | |
| Migrant Health Center Western Region, Inc. | Past | Accepting new patients | |
| Western Medical Hospice, Inc. | Past | Accepting new patients |
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Western Medical Hospice, Inc. | Hospice | 5% Or Greater Direct Ownership Interest (33%) Corporate Officer (33%) Corporate Director (33%) |
Aug 1, 2000 Aug 1, 2000 Aug 1, 2000 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Mayaguez, PR
- NPI 1639113301
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Mayaguez, PR
- NPI 1609969286
-
- Clinic Pharmacy
- Yauco, PR
- NPI 1093262297
-
- Radiology Clinic/Center
- Las Marias, PR
- NPI 1508453051
-
- Clinical Medical Laboratory
- Las Marias, PR
- NPI 1265029839
-
- Community Based Hospice Care Agency
- Mayaguez, PR
- NPI 1639113301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371081600000",
"number": "1902958499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "257 ADUANA STREET",
"address_2": "SUITE 364",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00682",
"telephone_number": "787-833-5898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 CALLE B STE 4",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006821378",
"telephone_number": "787-833-5898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ SIERRA",
"first_name": "LUIS",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2013-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "11197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.