Mr Jorge L Cordova - Ruiz, MD is a medicare enrolled "General Practice" physician in St Augustine, Florida. His current practice location is
100 Deerfield Preserve Blvd, St Augustine, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 829-0814.
Mr Jorge L Cordova - Ruiz is licensed to practice in Puerto Rico (license number 019114) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477967545.
Physician's Profile
Full Name | Mr Jorge L Cordova - Ruiz |
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Gender | Male |
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Speciality | General Practice |
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Location | 100 Deerfield Preserve Blvd, St Augustine, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1477967545
- Provider Enumeration Date: 06/17/2014
- Last Update Date: 03/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 2668780321
- Enrollment ID: I20150929001948
Medical Identifiers
Medical identifiers for Mr Jorge L Cordova - Ruiz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477967545 | NPI | - | NPPES |
1477967545 | Other | PR | 1477967545 |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 019114 (Puerto Rico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jorge L Cordova - Ruiz is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Jorge L Cordova - Ruiz, MD 100 Deerfield Preserve Blvd, St Augustine, FL 32086-5966 Ph: (904) 829-0814 | Mr Jorge L Cordova - Ruiz, MD 100 Deerfield Preserve Blvd, St Augustine, FL 32086-5966 Ph: (904) 829-0814 |
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