Look up the most recent NPI and PECOS records

Ruka Medical Center

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

9245 SW 157th St Ste 106, Palmetto Bay, FL 33157-1975

PECOS Enrollment

Based on the most recent information from CMS, provider Ruka Medical Center does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1619844891
Provider Type
Organization
Full Name
Ruka Medical Center

Subpart
No
Enumeration Date
10/21/2025
Last Updated
10/21/2025

Contact Information

Practice Location

9245 SW 157th St Ste 106, Palmetto Bay, FL 33157-1975

(788) 299-3761

Unlisted Fax

Mailing Location

13167 SW 219th Ter, Miami, FL 33170-2704

Unlisted Phone

Unlisted Fax

Authorized Official

James, Maureen (Owner)

(786) 299-3761

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Ruka Medical Center

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Perez Rodriguez, Octavio

Saleh, Fatma

Garcia, Adriana

Gomez Hernandez, Isabel Maria

Urbina, Rebeca

Pedrosa, Janet

Caballero, Michelle

Janice D Bacchus, Llc

Wardlow, Liliana Alejandra

Leon Leon, Rainel