Ruben Vallejo, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME32290 Issued in FL

Practice address

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

Phone

(954) 581-4111

Fax

(954) 692-1963

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1841345873",
    "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",
            "telephone_number": "954-581-4111",
            "fax_number": "954-692-1963"
        },
        {
            "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",
            "fax_number": "954-692-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLEJO",
        "first_name": "RUBEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME32290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1710266754",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038592100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jackeline L Valladares
• Madeline Valladares, LMFT
• Alma Vallderuten, D.D.S
• Gabriel A Valle, M.D.
• Rebeca Vallejo
• Maria Leah Lao Valmonte, P.T.
• Valor Medical Supplies, LLC
• Kelly Valverde
• Daniel J Van Dongen
• Emelyn Van Uden Manjarres, MD

• 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 Apr 4, 2019; 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.

Verify at the official NPI Registry.