Individual provider Active NPI

Ruben Gonzalez-Vallina, M.D.

  • Pediatric Gastroenterology Physician
  • Miami, FL
National Provider Identifier
1376584821
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
ME0055859 Issued in FL
Practice address
9260 SW 72ND St
217
Miami, FL 33173-3275
Phone
(305) 271-7330
Fax
(305) 271-4219
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X ME0055859 FL Primary

Addresses

Primary practice location

9260 SW 72ND St
217
Miami, FL 33173-3275

Mailing address

3100 SW 62ND Ave
Miami, FL 33155-3009
Phone (305) 271-7330

Other identifiers 1

IdentifierTypeStateIssuer
375772200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171107002802 FL Practitioner - Gastroenterology 4385890367 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0055859FLMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nicklaus Children'S Pediatric Specialists, LLC CurrentSince Jul 31, 2017 Accepting new patients
Nicklaus Children'S Pediatric Specialists, LLC Pediatric Gastroenterology CurrentSince Jul 31, 2017 Accepting new patients
Nicklaus Children'S Pediatric Specialists, LLC Current Accepting new patients

Locations

9260 SW 72nd St
Ste 217
Miami, FL 33173
Phone (305) 271-7330

3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376584821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553009",
            "telephone_number": "305-271-7330",
            "fax_number": "305-271-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9260 SW 72ND ST",
            "address_2": "217",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733275",
            "telephone_number": "305-271-7330",
            "fax_number": "305-271-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-VALLINA",
        "first_name": "RUBEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "FL",
            "license": "ME0055859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375772200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.