Active NPI
Roberto C Ruiz Jr., MD
- General Practice Physician
- Edinburg, TX
National Provider Identifier
1922097583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- F3315
- Practice address
- 815 S Closner Blvd
Edinburg, TX 78539-5655 - Phone
- (956) 383-0714
- Fax
- (956) 383-4222
- NPI assigned
- Oct 17, 2005
- 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 | F3315 | TX | Primary |
Addresses
Primary practice location
815 S Closner Blvd
Edinburg, TX 78539-5655
Mailing address
815 S Closner Blvd
Edinburg, TX 78539-5655
Phone (956) 383-0714
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121163303 | Medicaid | TX |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F3315 | TX | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192147200000",
"number": "1922097583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 S CLOSNER BLVD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785395655",
"telephone_number": "956-383-0714",
"fax_number": "956-383-4222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 S CLOSNER BLVD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785395655",
"telephone_number": "956-383-0714",
"fax_number": "956-383-4222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "ROBERTO",
"middle_name": "C",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-17",
"last_updated": "2007-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TX",
"license": "F3315",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121163303",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.