Sandra Rua

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11018981 Issued in FL

Practice address

11272 SW 137TH Ave
Miami, FL 33186-4203

Phone

(786) 424-1584

Fax

(786) 478-2267

NPI assigned

Jun 2, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Suarez & Rua Health Services Corp.

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1437849304
  Medicare reassignment NPD Authorized official
• Green Mountain Med Con, Inc

  • Family Medicine Physician
  • Doral, FL
  • NPI 1194330340
  Medicare reassignment NPD
• Optimum Mental Health Solutions Inc

  • Case Management Agency
  • Miami, FL
  • NPI 1255948949
  NPD Authorized official

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1962026278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21014 SW 125TH COURT RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331775754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11272 SW 137TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864203",
            "telephone_number": "786-424-1584",
            "fax_number": "786-478-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUA",
        "first_name": "SANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11018981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RT Professional, Inc.
• RT USA Services Corp
• RTL Home Services Inc
• Raiza Rua Perez
• Ignacio Rua, M.D.
• Viviana Melissa Rua, ARNP
• Antonia E Ruaix, MD
• Eduardo Ruan, M.D.
• Alvin Ruangsomboon, MD
• Stephanie Marie Ruangsomboon, APRN

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.