Ruben B Vallejo MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

RUBEN B VALLEJO MD PA

Practice address

1777 S Andrews Ave
Suite 201
Ft Lauderdale, FL 33316-2517

Phone

(954) 581-4111

NPI assigned

Aug 9, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Ruben Vallejo

Title

President

Phone

(954) 581-4111

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1710266754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19708",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333180708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 S ANDREWS AVE",
            "address_2": "SUITE 201",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162517",
            "telephone_number": "954-581-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBEN B VALLEJO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "VALLEJO",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-581-4111",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038592100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Royce Medical Supply LLC
• Edward Roycraft, DO
• John J Rozanski, MD
• Paul Louis Rozynes, MD
• RR Healthcare and Associates (Interim Health of Broward)
• Lisa Rubiano, D.O.
• Aviva Rubin, RD
• Jill M Rubin, LCSW
• Joshua Adam Rubin, MD
• Keith Harrison Rubin, M.D.

• Psychiatry Physician in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.