Active NPI
Raul Rodriguez Ruiz, PHYSICAL THERAPIST
- Physical Therapist
- Carolina, PR
National Provider Identifier
1952506974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 481
- Practice address
- 217 Clavel St.
Buzon 632 Bo. Buenaventura
Carolina, PR 00987 - Phone
- (787) 752-7505
- NPI assigned
- Jun 19, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 481 | PR | Primary |
Addresses
Primary practice location
217 Clavel St.
Buzon 632 Bo. Buenaventura
Carolina, PR 00987
Mailing address
PO Box 21420
Upr Station
San Juan, PR 00931-1420
Phone (787) 752-7505
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 481 | PR | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952506974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21420",
"address_2": "UPR STATION",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009311420",
"telephone_number": "787-752-7505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 CLAVEL ST.",
"address_2": "BUZON 632 BO. BUENAVENTURA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987",
"telephone_number": "787-752-7505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "RAUL",
"middle_name": "RODRIGUEZ",
"name_prefix": "Mr.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.