Individual provider Active NPI

Mariclara Torrellas-Ruiz, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • San Juan, PR
National Provider Identifier
1982866083
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD202124 Issued in LA
Practice address
300 Ave Domenech
San Juan, PR 00918-3509
Phone
(787) 676-6987
NPI assigned
Jun 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD202124 LA Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 18559 PR

Addresses

Primary practice location

300 Ave Domenech
San Juan, PR 00918-3509

Mailing address

PO Box 366527
San Juan, PR 00936-6527
Phone (787) 676-6987

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
I20131008000753 PR Practitioner - Pathology 1052582707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University Central del Caribe Escuela de Medicina, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hato Rey Pathology Associates IncGroup PAC ID 6608959804, 21 clinicians

Practice addresses (Care Compare)

300 Ave Domenech
San Juan, PR 00918-3509
Phone (787) 758-3220

Hospital & facility affiliations

  • Presbyterian Community Hospital Hospital, San Juan, PR, CCN 400001
  • Hospital Centro Comprensivo del Cancer Hospital, San Juan, PR, CCN 400135
  • Hospital Menonita Caguas Inc Hospital, Caguas, PR, CCN 400104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD202124LAMDAnatomic Pathology & Clinical Pathology Physician
18559PRMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hato Rey Pathology Associates Inc CurrentSince Oct 1, 2013 Accepting new patients
Pontchartrain Pathology Apmc Anatomic Pathology & Clinical Pathology Past Accepting new patients
Hato Rey Pathology Associates,PSC PastSince Oct 1, 2013 Accepting new patients

Locations

300 Calle Manuel Domenech
San Juan, PR 00918
Phone (787) 758-3220

570 Calle Juan J Jimenez
San Juan, PR 00918
Phone 7877657320 ext. 225

Organizations & group practices 3

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 3

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1982866083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366527",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009366527",
            "telephone_number": "787-676-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 AVE DOMENECH",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183509",
            "telephone_number": "787-676-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRELLAS-RUIZ",
        "first_name": "MARICLARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "LA",
            "license": "MD202124",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PR",
            "license": "18559",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.