Individual
DR. RUBEN VALLEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1777 S ANDREWS AVE, SUITE 201, FT LAUDERDALE, FL 33316-2517
(954) 581-4111
(954) 692-1963
Mailing address
PO BOX 19708, PLANTATION, FL 33318-0708
(954) 581-4111
(954) 692-1963
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME32290
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038592100
—
FL
01
—
1710266754
GROUP NPI
—
Enumeration date
01/23/2007
Last updated
04/04/2019
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