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NPI Code Detail

MEDICARE: RUBEN DE RUS MARTINEZ

MEDICARE:   RUBEN  DE RUS MARTINEZ
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
1101YP2500XProfessional Counselor89115TX
2101YM0800XMental Health Counselor5753NH

General Provider Information

NPI Number : 1750780094
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUBEN DE RUS MARTINEZ
Provider Business Mailing Address
First Line : 7329 ARYAN CT # A
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78414-4257
Country : US
Telephone Number : 361-779-1091
Fax Number :
Provider Business Practice Location Address
First Line : 10782 E ALAMEDA AVE
Second Line :
City : AURORA
State : CO
Zip : 80012-1017
Country : US
Telephone Number : 303-617-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2014
Last Update Date : 05/19/2026

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Directions to “ RUBEN DE RUS MARTINEZ ” Practice Location

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