Active NPI
Marina C. Ruiz-Montilla, M.D.
- Pediatric Endocrinology Physician
- Santurce, PR
National Provider Identifier
1992967384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- 18387
- Practice address
- Cond San Jorge
258
Santurce, PR 00912-3302 - Phone
- (787) 349-9179
- NPI assigned
- Jun 27, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 18387 | PR | |
| Pediatric Endocrinology Physician | 2080P0205X | 18387 | PR | Primary |
Addresses
Primary practice location
Cond San Jorge
258
Santurce, PR 00912-3302
Mailing address
258 Calle San Jorge
Santurce, PR 00912
Phone (787) 349-9179
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18387 | PR | MD | Pediatric Endocrinology Physician |
Interoperability endpoints
- sjcmarinar@yourcarecommunity.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473724800000",
"number": "1992967384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "258 CALLE SAN JORGE",
"city": "SANTURCE",
"state": "PR",
"postal_code": "00912",
"telephone_number": "787-349-9179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COND SAN JORGE",
"address_2": "258",
"city": "SANTURCE",
"state": "PR",
"postal_code": "009123302",
"telephone_number": "787-349-9179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ-MONTILLA",
"first_name": "MARINA",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-27",
"last_updated": "2016-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "18387",
"primary": false
},
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "PR",
"license": "18387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santurce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.