Individual provider Active NPI

Luis E Santaliz Ruiz, M. D.

  • Dermatology Physician
  • Guaynabo, PR
National Provider Identifier
1942583331
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
18976 Issued in PR
Practice address
J8 Ave San Patricio Apt 27
Guaynabo, PR 00968-4462
Phone
(787) 601-1049
NPI assigned
Sep 22, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 18976 PR
Dermatology Physician 207N00000X 18976 PR Primary

Addresses

Primary practice location

J8 Ave San Patricio Apt 27
Guaynabo, PR 00968-4462

Mailing address

J8 Ave San Patricio Apt 27
Guaynabo, PR 00968-4462
Phone (939) 793-5444

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
I20200224000343 PR Practitioner - DermatologyPractitioner - General Practice 1052748563 Practice locations: Sabana Grande, PR

National Provider Directory

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1942583331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "J8 AVE SAN PATRICIO APT 27",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009684462",
            "telephone_number": "939-793-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "J8 AVE SAN PATRICIO APT 27",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009684462",
            "telephone_number": "787-601-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTALIZ RUIZ",
        "first_name": "LUIS",
        "middle_name": "E",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-22",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18976",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "18976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.