Active NPI 1396704821 Individual Practitioner Male Practitioner

Dr. Ruben J Lopez , MD

Pediatrics • Port Orange, FL

Professional Overview & Biography Verified Profile Summary

Dr. Ruben Lopez, MD is a registered healthcare professional specializing in Pediatrics in Port Orange, FL. Practice services are available at 1728 DUNLAWTON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1728 Dunlawton Ave
Suite 1

Port Orange, FL 321278929

Telephone 3863225390

Fax 3863225391

Associated Practice Facility / Clinic

🏢 Suncoast Vein & Vascular Clinic Plc Facility NPI 1750564696

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Port Orange, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 22.2 Yrs

Regional Practice Density

5 Specialists

Practicing in Port Orange, FL (4160 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-01-26

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL 68668

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

250201100 (FL)

Commercial Insurance / Payer ID Vhn

ME68668 (FL)

Commercial Insurance / Payer ID Bcbs

31712 (FL)

Commercial Insurance / Payer ID Dcwo

ME0068668 (FL)

Commercial Insurance / Payer ID United Benefits

ME68668 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Sukhender Singireddy , MD

Radiology - Diagnostic Radiology

NPI 1013973882

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2022

Pediatrics (License #68668 in FL)

✅

NPI Profile Active September 06, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location September 06, 2011

Registered at 1728 DUNLAWTON AVE, SUITE 1, PORT ORANGE, FL 321278929 (Tel: 3863225390)

📍

Updated Business Mailing Address September 06, 2011

Registered at 1728 DUNLAWTON AVE, SUITE 1, PORT ORANGE, FL 321278929 (Tel: 3863225390)

👤

Provider Name / Credentials Updated September 06, 2011

Recorded as RUBEN LOPEZ, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2011

Legal Medicine (License #ME0068668 in FL)

🟢

Initial NPI Registration & Enumeration March 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396704821

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 22, 2006

Last Update: January 26, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1728 Dunlawton Ave, Suite 1

Port Orange, FL 321278929

Phone: 3863225390

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.