Marangely Ruiz Medina

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN25737 Issued in FL

Practice address

3779 Lake Emma Rd
Lake Mary, FL 32746-6156

Phone

(407) 547-1359

NPI assigned

Mar 28, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coast Florida P.a.

  • Dentist
  • Kissimmee, FL
  • NPI 1558937946
  NPD (past)
• Coast Florida P.a.

  • Dentist
  • Tampa, FL
  • NPI 1730287673
  NPD (past)
• Dr.Anu Deshpande BDS DMD Ms PA

  • Endodontics
  • Cocoa, FL
  • NPI 1700211935
  NPD (past)
• Lake Mary Modern Dentistry, PA

  • Dentist
  • Lake Mary, FL
  • NPI 1053849646
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752278400000",
    "number": "1366070195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190879",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009190879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3779 LAKE EMMA RD",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466156",
            "telephone_number": "407-547-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ MEDINA",
        "first_name": "MARANGELY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-28",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN25737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RSM Plastic Surgery, PA
• Margaret Rudd, BCBA
• Adriana Angela Rueda-Barrera, MS, NCC. LMHC
• Robert Ruel
• Thalmon Ruela Campagnoli, M.D.
• Ruk Holdings
• Taylor Marie Rungeling
• Ryan C. W. Hall, MD, PA
• John F Ryan, M.D.
• Lindsay Ryan, PTA

• Endodontics in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.