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CARLOS EDUARDO ROAS RUIZ MD
NPI 1902587884
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Active since July 25, 2023PECOS Enrolled
653 W 8TH ST # FC-12, JACKSONVILLE, FL 32209(904) 244-3902(904) 244-6252 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 1, 2026, Mar 24, 2026, Jul 25, 2023 (3 updates tracked since 2023).

About Carlos Eduardo Roas Ruiz Md NPPES

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

CARLOS EDUARDO ROAS RUIZ MD (NPI 1902587884) is an individual student in an organized health care education/training program in Jacksonville, Florida, licensed in Florida (TRN44251) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902587884
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCARLOS EDUARDO ROAS RUIZCredential: MD
Location Address653 W 8TH ST # FC-12Jacksonville, FL 32209-6511
Mailing Address653 W 8th St # Fc-12Jacksonville, FL 32209-6511 · (904) 244-3902 · Fax (904) 244-6252
Phone(904) 244-3902
Fax(904) 244-6252
Sole ProprietorNo
Enumeration DateJuly 25, 2023
Last NPPES UpdateApril 1, 20263 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
✔ NPI 1902587884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in FL · TRN44251
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.
Also ListedSpecialist/Technologist, Other · Surgical AssistantTaxonomy 246ZC0007X · License 23-384 (WI)
653 W 8TH ST # FC-12, Jacksonville, FL 32209
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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)

Carlos Eduardo Roas Ruiz Md 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 4

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

ANNE HEUKWA-TEFOUNG
Student in an Organized Health Care Education/Training Program
653 W 8TH ST # FC-12
JACKSONVILLE, FL 32209
Duval County (904) 244-3902
STEPHANIE GONZALEZ DO
Student in an Organized Health Care Education/Training Program
653 W 8TH ST # FC-12
JACKSONVILLE, FL 32209
Duval County (904) 244-3902
MISS SUSANNE TRACY M.D.
Surgery
653 W 8TH ST # FC-12, FACULTY CLINIC 3RD FLOOR
JACKSONVILLE, FL 32209
Duval County (904) 244-3903
ASAD RAMZAN MD
Student in an Organized Health Care Education/Training Program
653 W 8TH ST # FC-12
JACKSONVILLE, FL 32209
Duval County (904) 244-3902

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 Carlos Roas Ruiz's NPI number?

The NPI number for Carlos Roas Ruiz is 1902587884. It was assigned to this individual provider in the NPPES registry on July 25, 2023.

Where is Carlos Roas Ruiz located?

Carlos Roas Ruiz practices at 653 W 8th St # Fc-12, Jacksonville, FL 32209. The listed phone number is (904) 244-3902.

What is Carlos Roas 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 Carlos Roas Ruiz enrolled in Medicare?

Yes. Carlos Roas Ruiz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carlos Roas Ruiz was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.