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JAN MICO RUIZ
NPI 1013865260
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since March 20, 2026PECOS Enrolled
9300 W SUNSET RD, LAS VEGAS, NV 89148(702) 916-6902 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jan Mico Ruiz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAN MICO RUIZ (NPI 1013865260) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013865260
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAN MICO RUIZ
Location Address9300 W SUNSET RDLas Vegas, NV 89148-4844
Mailing Address9300 W Sunset RdLas Vegas, NV 89148-4844 · (702) 916-6902
Phone(702) 916-6902
Sole ProprietorYes
Enumeration DateMarch 20, 2026
NPPES CertifiedMarch 20, 2026
✔ NPI 1013865260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9300 W SUNSET RD, Las Vegas, NV 89148
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jan Mico Ruiz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GARY KAI-CHUNG LEE MD
Internal Medicine
9300 W SUNSET RD
LAS VEGAS, NV 89148
Clark County (702) 916-5000
VICTORIA BABTKIS DO
Student in an Organized Health Care Education/Training Program
9300 W SUNSET RD
LAS VEGAS, NV 89148
Clark County (702) 916-6902
DEEPAL PATEL
Radiology (Diagnostic Radiology)
9300 W SUNSET RD
LAS VEGAS, NV 89148
Clark County (702) 916-5000
JUDITH AQUINO BELETE APRN
Nurse Practitioner (Family)
9300 W SUNSET RD
LAS VEGAS, NV 89148
Clark County (702) 916-5000
TIMISE BROUGH FNP
Nurse Practitioner
9300 W SUNSET RD
LAS VEGAS, NV 89148
Clark County (702) 916-7800
MARIA KATRINA TILLADA DIMAPILIS
Physical Therapist
9300 W SUNSET RD
LAS VEGAS, NV 89148
Clark County (702) 916-5000
SAMANTHA NICHOL DEFALCO
Dietitian, Registered
9300 W SUNSET RD
LAS VEGAS, NV 89148
Clark County (702) 351-1601
HELENE A MARTINEZ
Student in an Organized Health Care Education/Training Program
9300 W SUNSET RD
LAS VEGAS, NV 89148
Clark County (702) 916-6902

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jan Mico Ruiz's NPI number?

The NPI number for Jan Mico Ruiz is 1013865260. It was assigned to this individual provider in the NPPES registry on March 20, 2026.

Where is Jan Mico Ruiz located?

Jan Mico Ruiz practices at 9300 W Sunset Rd, Las Vegas, NV 89148. The listed phone number is (702) 916-6902.

What is Jan Mico Ruiz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jan Mico Ruiz enrolled in Medicare?

Yes. Jan Mico Ruiz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jan Mico Ruiz was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.