Active NPI
Ruben Marcos Valdes, DO
- Family Medicine Physician
- Tampa, FL
National Provider Identifier
1790882801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0S3207
- Practice address
- 7519 Paula Dr
Tampa, FL 33615-4113 - Phone
- (813) 884-1478
- Fax
- (813) 884-1798
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0S3207 | FL | Primary |
| Family Medicine Physician | 207Q00000X | OS0003207 | FL |
Addresses
Primary practice location
7519 Paula Dr
Tampa, FL 33615-4113
Mailing address
7519 Paula Dr
Tampa, FL 33615-4113
Phone (813) 884-1478
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110013728 | Other | FL | RR MEDICARE |
| 33864 | Other | FL | BLUE SHIELD |
| 6525156 | Other | FL | CIGNA |
| 069086400 | Other | FL | WORKMAN'S COMP |
| 4644617 | Other | FL | AETNA |
| 232964 | Other | FL | WELLCARE |
| 069086400 | Medicaid | FL | |
| 209545 | Other | FL | AVMED |
| 9326165 | Other | FL | AETNA GROUP # |
| 592746543 | Other | FL | WELLCARE MEDICARE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090327000553 | FL | Practitioner - Family Practice | 7315004827 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0S3207 | FL | MD | Family Medicine Physician |
| OS0003207 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490227200000",
"number": "1790882801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7519 PAULA DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336154113",
"telephone_number": "813-884-1478",
"fax_number": "813-884-1798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7519 PAULA DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336154113",
"telephone_number": "813-884-1478",
"fax_number": "813-884-1798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDES",
"first_name": "RUBEN",
"middle_name": "MARCOS",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2017-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "0S3207",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS0003207",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "110013728",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "33864",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6525156",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKMAN'S COMP",
"identifier": "069086400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4644617",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "232964",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "069086400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "209545",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA GROUP #",
"identifier": "9326165",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE MEDICARE",
"identifier": "592746543",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.