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MR. JORGE L CORDOVA - RUIZ M.D
NPI 1477967545
General Practice in St Augustine, FL

Active since June 17, 2014PECOS Enrolled
100 DEERFIELD PRESERVE BLVD, ST AUGUSTINE, FL 32086(904) 829-0814 Get Directions Write a Review

NPPES record last updated: March 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2022, Jul 25, 2018 (2 updates tracked since 2018).

About Mr. Jorge L Cordova - Ruiz M.d NPPES

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

MR. JORGE L CORDOVA - RUIZ M.D (NPI 1477967545) is an individual general practice provider in St Augustine, Florida, licensed in Puerto Rico (019114) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477967545
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMR. JORGE L CORDOVA - RUIZCredential: M.D
Location Address100 DEERFIELD PRESERVE BLVDSt Augustine, FL 32086-5966
Mailing Address100 Deerfield Preserve BlvdSt Augustine, FL 32086-5966 · (904) 829-0814
Phone(904) 829-0814
Sole ProprietorYes
Enumeration DateJune 17, 2014
Last NPPES UpdateMarch 4, 20222 updates tracked since enumeration
NPPES CertifiedMarch 4, 2022
✔ NPI 1477967545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 019114
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
100 DEERFIELD PRESERVE BLVD, St Augustine, FL 32086
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Other Identifiers 1

Other1477967545PR · 1477967545

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jorge L Cordova - Ruiz M.d 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 16

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

ABIGAIL CARTLEDGE RDN
Dietitian, Registered
100 DEERFIELD PRESERVE BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 829-0814
MRS. SUSAN MICHELLE RUDAY MSN, RN
Registered Nurse (Home Health)
100 DEERFIELD PRESERVE BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 829-0814
DUSTIN BLEND LCSW
Social Worker (Clinical)
100 DEERFIELD PRESERVE BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 829-0814
MARIA CIRILLO LCSW
Social Worker (Clinical)
100 DEERFIELD PRESERVE BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 829-0814
BRITTANY COLE OT
Occupational Therapist
100 DEERFIELD PRESERVE BLVD
SAINT AUGUSTINE, FL 32086
St. Johns County (904) 829-0814
WESLEY PAUL CONWAY
Social Worker
100 DEERFIELD PRESERVE BLVD
ST AUGUSTINE, FL 32086
St. Johns County (516) 254-2954
EMILY PERRY LCSW
Social Worker (Clinical)
100 DEERFIELD PRESERVE BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 823-2896
MRS. GUADALUPE LUIS LCSW
Social Worker (Clinical)
100 DEERFIELD PRESERVE BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 829-0814

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 Jorge Cordova - Ruiz's NPI number?

The NPI number for Jorge Cordova - Ruiz is 1477967545. It was assigned to this individual provider in the NPPES registry on June 17, 2014.

Where is Jorge Cordova - Ruiz located?

Jorge Cordova - Ruiz practices at 100 Deerfield Preserve Blvd, St Augustine, FL 32086. The listed phone number is (904) 829-0814.

What is Jorge Cordova - Ruiz's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jorge Cordova - Ruiz enrolled in Medicare?

Yes. Jorge Cordova - Ruiz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jorge Cordova - Ruiz was last updated on March 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.