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NPI Code Detail

MEDICARE: JORGE RUBINOS MD

MEDICARE:   JORGE  RUBINOS  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician1085FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659864817
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORGE RUBINOS MD
Provider Business Mailing Address
First Line : 4780 SW 64TH AVE STE 103
Second Line :
City : DAVIE
State : FL
Zip : 33314-4400
Country : US
Telephone Number : 544-341-7059
Fax Number :
Provider Business Practice Location Address
First Line : 1437 S FEDERAL HWY
Second Line :
City : DANIA BEACH
State : FL
Zip : 33004-4348
Country : US
Telephone Number : 954-399-9941
Fax Number : 305-633-4240
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2018
Last Update Date : 11/09/2023

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Directions to “ JORGE RUBINOS MD” Practice Location

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