Ivette Ruiz Rodriguez, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17707 Issued in PR

Practice address

HC 4 Box 47604
Hatillo, PR 00659-8452

Phone

(787) 356-3073

NPI assigned

Aug 25, 2009

Last updated

Aug 25, 2009By the provider in NPPES

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 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

Specialty

General Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Corporacion Servicios Medicos Primarios Y Prevencion de Hatillo

  • Federally Qualified Health Center (FQHC)
  • Hatillo, PR
  • NPI 1306877279

  General Practice

  NPD (past)

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251158400000",
    "number": "1972736940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 4 BOX 47604",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006598452",
            "telephone_number": "787-356-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 4 BOX 47604",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006598452",
            "telephone_number": "787-356-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ RODRIGUEZ",
        "first_name": "IVETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glorimar Rosario-Feliciano, MA-PSYCHOLOGIST
• RR Laboratory Services, Inc (Laboratorio Clinico Bact Bayaney)
• RT Laboratories LLC
• Rudy Orthomedic, Corp
• Emelda Ruiz Morell, M.D.
• Yaisa Z Ruiz, OD
• Beatriz Marie Sabat
• Sahudy Amador Lopez/Dba Laboratorio Clinico Moldonado Aviles
• Mariela Salgado, R.PH.
• Salud Para El Alma

• General Practice Physician in Hatillo, PR
• Providers in Hatillo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.