Individual provider Active NPI

Marina C. Ruiz-Montilla, M.D.

  • Pediatric Endocrinology Physician
  • Santurce, PR
National Provider Identifier
1992967384
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
18387 Issued in PR
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

Updated by the provider on Sep 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
18387PRMDPediatric Endocrinology Physician

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.