Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Luis E Ruiz Velez

Individual provider Family Nurse Practitioner · NPI 1417810227

Luis E Ruiz Velez is a Nurse Practitioner in Lake Wales, Florida. Qualified in 2025, 1 year ago. Practices with Mp Primary Care Services, a 12-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025

Practice location Address checks out

264 Taylor Groves St
Lake Wales, FL 33898-5154
Phone: (407) 744-2920
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11044097 (FL)

Record details

NPI number1417810227
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 8, 2025
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025
Mailing address264 Taylor Groves St, Lake Wales, FL 33898-5154

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Mp Primary Care Services — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake Wales