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Carlos O Ruiz , PA

Physician Assistant β€’ Miami, FL

Deactivated NPI 1922109909 Deactivated in NPPES Male Practitioner
Practice location in NPPES

11760 Sw 40th St, Suite 729
Miami, FL 331753582

Phone: 3055592779

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of August 20, 2026; the reason is not published. The records below are historical. They do not show whether Carlos Ruiz currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date September 25, 2006
NPI Deactivation Date August 20, 2026
NPI Active Period 2006 – 2026

Practice Location & Contact Primary Location

Practice Address

11760 Sw 40th St
Suite 729

Miami, FL 331753582

Telephone 3055592779
Fax 3055596119
Organization at the Same NPPES Address or Phone
Hemonc-Care Llc Facility NPI 1487627592

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Miami and Florida

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES FL PA9100846

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

License # reported to NPPES FL PA9100846
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

18 listed
Julio Acosta , AGACNP

Nurse Practitioner - Acute Care

NPI 1053893222

Adult-Gerontology Acute Care Nurse Practitioner

Dr. Jaime Altamirano , MD

Internal Medicine - Cardiovascular Disease

NPI 1346290863

Doctor of Medicine (M.D.)

Dr. Eileen Bernal , MD

Surgery - Surgical Critical Care

NPI 1245556869

Doctor of Medicine (M.D.)

Dr. Naim Dahdah , MD

Internal Medicine

NPI 1922338185

Doctor of Medicine (M.D.)

Dr. Frank Depena , MD

Internal Medicine

NPI 1073551958

Doctor of Medicine (M.D.)

NPI 1467436501

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated August 20, 2026

NPPES lists this NPI as deactivated as of August 20, 2026; the reason is not published.

βœ…
NPI Profile Active March 03, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 03, 2008

Registered at 11760 SW 40TH ST, SUITE 729, MIAMI, FL 331753582 (Tel: 3055592779)

πŸ“
Business Mailing Address (Initial Record) March 03, 2008

Registered at 11760 SW 40TH ST, SUITE 729, MIAMI, FL 331753582 (Tel: 3055592779)

πŸ‘€
Provider Name / Credentials (Initial Record) March 03, 2008

Recorded as CARLOS RUIZ, P.A.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2008

Physician Assistant (license number reported to NPPES: FL PA9100846)

🟒
Initial NPI Registration & Enumeration September 25, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1922109909
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2006
Last Update: July 05, 2026
Deactivation Date: August 20, 2026
Sole Proprietor: No

Other Physician Assistants in Miami

All Physician Assistants in Miami

Mailing Address

11760 Sw 40th St, Suite 729

Miami, FL 331753582

Phone: 3055592779

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.