Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477967545 Individual Practitioner Male Practitioner

Dr. Jorge L Cordova - Ruiz , MD

General Practice • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Dr. Jorge Cordova - Ruiz, MD is a registered healthcare professional specializing in General Practice in St Augustine, FL. Practice services are available at 100 DEERFIELD PRESERVE BLVD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Deerfield Preserve Blvd

St Augustine, FL 320865966

Telephone 9048290814

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
8 Specialists

Practicing in St Augustine, FL (2490 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
80.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
314 111 $184.94 $68.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
24 17 $373.78 $40.72

Medical Specialties & State Licenses

CMS Verified: 2022-03-04
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License PR 019114

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID 1477967545
1477967545 (PR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Abigail Cartledge , RDN

Dietitian, Registered

NPI 1023640299

Registered Dietitian Nutritionist

NPI 1033228937

Doctor of Medicine (M.D.)

Susan Ruday , MSN, RN

Registered Nurse - Home Health

NPI 1124859566

Master of Science in Nursing, Registered Nurse

Dustin Blend , LCSW

Social Worker - Clinical

NPI 1174268916

Licensed Clinical Social Worker

Maria Cirillo , LCSW

Social Worker - Clinical

NPI 1174499495

Licensed Clinical Social Worker

Brittany Cole , OT

Occupational Therapist

NPI 1205026986

Occupational Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location March 04, 2022

Registered at 100 DEERFIELD PRESERVE BLVD, ST AUGUSTINE, FL 320865966 (Tel: 9048290814)

📍
Updated Business Mailing Address March 04, 2022

Registered at 100 DEERFIELD PRESERVE BLVD, ST AUGUSTINE, FL 320865966 (Tel: 9048290814)

📍
Updated Practice Location July 25, 2018

Registered at 3381 PHILLIS BLVD, MYRTLE BEACH, SC 29577 (Tel: 8434770177)

📍
Updated Business Mailing Address July 25, 2018

Registered at 3381 PHILLIS BLVD, MYRTLE BEACH, SC 295771560 (Tel: 8434770177)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2018

General Practice (License #019114 in PR)

NPI Profile Active August 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 20, 2015

Registered at SERGIO CUEVAS BUSTAMANTE STREET, #550, AVE DOMENECH, SAN JUAN, PR 00918 (Tel: 7877588383)

📍
Updated Business Mailing Address August 20, 2015

Registered at GPO BOX 364708, SAN JUAN, PR 009364708 (Tel: 7877588383)

👤
Provider Name / Credentials Updated August 20, 2015

Recorded as JORGE CORDOVA - RUIZ, M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2015

General Acute Care Hospital (License #019114 in PR)

🟢
Initial NPI Registration & Enumeration June 17, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477967545
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2014
Last Update: March 04, 2022
Sole Proprietor: Yes

Mailing Address

100 Deerfield Preserve Blvd

St Augustine, FL 320865966

Phone: 9048290814

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.