Healthcare Provider Details

I. General information

NPI: 1629968433
Provider Name (Legal Business Name): MARTA RUBINART RUFACH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/04/2025
Last Update Date: 07/04/2025
Certification Date: 07/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE MONTSERRAT, 38, 4O 2A
MARTORELL BARCELONA
08760
ES

IV. Provider business mailing address

CALLE MONTSERRAT, 38, 4O 2A
MARTORELL BARCELONA
08760
ES

V. Phone/Fax

Practice location:
  • Phone: 917-924-8422
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY35679
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: