Organization Active NPI

Ruddy a Valdes D.O., P.a.

  • Internal Medicine Physician
  • Miramar, FL
National Provider Identifier
1528323052
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS7985 Issued in FL
Legal business name
RUDDY A VALDES D.O., P.A.
Practice address
3600 Red Rd
Miramar, FL 33025-6013
Phone
(305) 562-0873
Fax
(305) 726-0041
NPI assigned
Jul 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Authorized official

Name
Xavier Martinez
Title
Billing & Credentialing
Phone
(305) 562-0873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X OS7985 FL Primary

Addresses

Primary practice location

3600 Red Rd
Miramar, FL 33025-6013

Mailing address

3600 Red Rd
Miramar, FL 33025-6013
Phone (305) 562-0873

National Provider Directory

National Provider Directory

Locations

3600 Red Rd
Miramar, FL 33025
Phone (305) 562-0873

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1528323052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 RED RD",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330256013",
            "telephone_number": "305-562-0873",
            "fax_number": "305-726-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 RED RD",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330256013",
            "telephone_number": "305-562-0873",
            "fax_number": "305-726-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUDDY A VALDES D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "XAVIER",
        "authorized_official_title_or_position": "BILLING & CREDENTIALING",
        "authorized_official_telephone_number": "305-562-0873"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS7985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.