Active NPI
Mauricio Ruiz Cuero, MD
- Neurology Physician
- Memphis, TN
National Provider Identifier
1962704395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 54446
- Practice address
- 6029 Walnut Grove Rd Ste 210
Memphis, TN 38120-2112 - Phone
- (901) 226-4910
- NPI assigned
- Nov 17, 2010
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 54446 | TN | Primary |
Addresses
Primary practice location
6029 Walnut Grove Rd Ste 210
Memphis, TN 38120-2112
Mailing address
PO Box 405827
Atlanta, GA 30384-5800
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 |
|---|---|---|---|
| 54446 | TN | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483401600000",
"number": "1962704395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 405827",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303845800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6029 WALNUT GROVE RD STE 210",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202112",
"telephone_number": "901-226-4910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ CUERO",
"first_name": "MAURICIO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-17",
"last_updated": "2017-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TN",
"license": "54446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.