Rubens De la Pena Mir, APRN

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9401713 Issued in FL

Practice address

933 Brown Chapel Rd
Saint Cloud, FL 34769-2043

Phone

(786) 970-2112

NPI assigned

Jul 31, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tots & Teens Pediatrics, LLC

  • Pediatrics Physician
  • Saint Cloud, FL
  • NPI 1427432590

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1982182184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 FLORA VISTA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328374794",
            "telephone_number": "786-970-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 BROWN CHAPEL RD",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347692043",
            "telephone_number": "786-970-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA PENA MIR",
        "first_name": "RUBENS",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-31",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "9401713",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN9401713",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Ivette De Jesus Baez
• Fabiola Nicole De Jesus Ruiz
• Lilybeth De Jesus
• Kayla De la Cruz
• Natacha De la Obra Sanchez
• Johanniss M De Leon Rivera, DCC
• Peerawut Deeprasertkul
• Haydn Del Rio, RBT
• Cinthia Damari Delgado
• Deborah Delgado

• Family Medicine Physician in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.