Port Orange Pediatrics P a
NPI 1902084064 · Pediatrics Physician · Port Orange, FL
Port Orange Pediatrics P a is a Pediatrics Physician organization in Port Orange, FL (NPI 1902084064).
Provider details
- NPI number
- 1902084064
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ruben Lopez, President(386) 322-5390
- License
- ME0068668 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-01-31
- Last updated
- 2022-01-26
- Certified
- 2022-01-26
Frequently asked questions
- What is Port Orange Pediatrics P a's NPI number?
- Port Orange Pediatrics P a's National Provider Identifier (NPI) is 1902084064, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Port Orange Pediatrics P a?
- Port Orange Pediatrics P a is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Port Orange Pediatrics P a located?
- Port Orange Pediatrics P a's practice location on file with NPPES is 1720 Dunlawton Ave, Port Orange, FL 32127-2915.
- What is Port Orange Pediatrics P a's phone number?
- The practice phone number listed in the NPPES registry for Port Orange Pediatrics P a is (386) 322-5390.
- Who is the authorized official for Port Orange Pediatrics P a?
- The authorized official listed on Port Orange Pediatrics P a's NPPES record is Ruben Lopez, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Port Orange Pediatrics P a's NPI active?
- Yes — Port Orange Pediatrics P a's NPI (1902084064) is active in the NPPES registry as of the last update on 2022-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.