Individual provider Active NPI

Luis H Ruiz Sierra, M.D.

  • General Practice Physician
  • Mayaguez, PR
National Provider Identifier
1902958499
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
11197 Issued in PR
Practice address
4040 Calle B Ste 4
Mayaguez, PR 00682-1378
Phone
(787) 833-5898
NPI assigned
Jan 17, 2007
Last updated
Jun 13, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040713000745 PR Practitioner - General Practice 7315925567 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11197PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Migrant Health Center Western Region, Inc. CurrentSince Jul 14, 2025 Accepting new patients
Migrant Health Center Western Region, Inc. CurrentSince Jul 14, 2025 Accepting new patients
Migrant Health Center Western Region,Inc CurrentSince Jul 14, 2025 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.

FacilityTypeRoleSince
Western Medical Hospice, Inc.Mayaguez, PR, CCN 401561 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.

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.

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

Verify at the official NPI Registry.