Individual provider Active NPI

Steven Rueda, M.D

  • Surgery of the Hand (Plastic Surgery) Physician
  • Wellington, FL
National Provider Identifier
1487911053
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
ME138043 Issued in FL
Practice address
3319 S State Road 7 Ste 105
Wellington, FL 33449-8099
Phone
(561) 557-3115
Fax
(561) 425-5147
NPI assigned
Apr 19, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ME138043 FL
Surgery of the Hand (Surgery) Physician 2086S0105X ME138043 FL
Plastic and Reconstructive Surgery Physician 2086S0122X 35.128891 OH
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X ME138043 FL Primary

Addresses

Primary practice location

3319 S State Road 7 Ste 105
Wellington, FL 33449-8099

Mailing address

131 Leather Leaf Dr
Jupiter, FL 33458-7130
Phone (305) 972-5299

Other practice location 1

3375 Burns Rd Ste 206
Palm Beach Gardens, FL 33410-4361
Phone (561) 799-9559

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
I20190809001176 FL Practitioner - Plastic and Reconstructive Surgery 5496035974

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME138043FLMDSurgery of the Hand (Surgery) Physician

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1487911053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 LEATHER LEAF DR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587130",
            "telephone_number": "305-972-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 S STATE ROAD 7 STE 105",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498099",
            "telephone_number": "561-557-3115",
            "fax_number": "561-425-5147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3375 Burns Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334104361",
            "country_code": "US",
            "telephone_number": "561-799-9559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUEDA",
        "first_name": "STEVEN",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-19",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME138043",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "FL",
            "license": "ME138043",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "OH",
            "license": "35.128891",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "FL",
            "license": "ME138043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.