Healthcare Provider Details

I. General information

NPI: 1760272546
Provider Name (Legal Business Name): JOEL A. RUIZ ADAMES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 AVE ROSSEVELT SUITE 410 CLINICAS LAS AMERICAS
SAN JUAN PR
00918
US

IV. Provider business mailing address

400 AVE ROSSEVELT SUITE 410 CLINICAS LAS AMERICAS
SAN JUAN PR
00918
US

V. Phone/Fax

Practice location:
  • Phone: 787-753-6414
  • Fax:
Mailing address:
  • Phone: 787-753-6414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number24743
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: