Individual provider Active NPI

Rafael Angel Ruiz-Quijano

  • Urology Physician
  • Bayamon, PR
National Provider Identifier
1962439448
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
5853 Issued in PR
Practice address
Bayamon Medical PLZ
Suite 908
Bayamon, PR 00959-7200
Phone
(787) 798-7751
Fax
(787) 780-6370
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 5853 PR Primary

Addresses

Primary practice location

Bayamon Medical PLZ
Suite 908
Bayamon, PR 00959-7200

Mailing address

The Ups Store 2000
Carr. 8177 Suite 26 PMB 202
Guaynabo, PR 00966-3762
Phone (787) 780-6392

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
I20110622000095 PR Practitioner - Urology 9537347539 Reassigns benefits to 1 organization
Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Puerto Rico School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1845 Carr
2 Suite 908
Bayamon, PR 00959-7206
Phone (787) 798-7751

Hospital & facility affiliations

  • Auxilio Mutuo Hospital Hospital, San Juan, PR, CCN 400016

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
RRQ Urological Institute, PSC Urology CurrentSince Mar 13, 2014 Accepting new patients
RRQ Urological Institute PSC Urology CurrentSince Feb 3, 2014 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rafael.ruiz@410.chartlogic.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962439448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THE UPS STORE 2000",
            "address_2": "CARR. 8177 SUITE 26 PMB 202",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009663762",
            "telephone_number": "787-780-6392",
            "fax_number": "787-780-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAYAMON MEDICAL PLZ",
            "address_2": "SUITE 908",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009597200",
            "telephone_number": "787-798-7751",
            "fax_number": "787-780-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ-QUIJANO",
        "first_name": "RAFAEL",
        "middle_name": "ANGEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PR",
            "license": "5853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.