Healthcare Provider Details

I. General information

NPI: 1437277217
Provider Name (Legal Business Name): RICHARD RUBIO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: RICHARD RUBIO II MD

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 05/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 CLINT MOORE RD 100
BOCA RATON FL
33487-2768
US

IV. Provider business mailing address

6735 ROYAL ORCHID CIR
DELRAY BEACH FL
33446-4338
US

V. Phone/Fax

Practice location:
  • Phone: 561-495-0992
  • Fax:
Mailing address:
  • Phone: 212-920-5073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number29072
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number058637
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberME102417
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME102417
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: