Healthcare Provider Details

I. General information

NPI: 1386753960
Provider Name (Legal Business Name): NOEL RUBIO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13298 BISCAYNE BLVD
NORTH MIAMI FL
33181-2015
US

IV. Provider business mailing address

15741 SW 137TH AVE APT 205
MIAMI FL
33177-1292
US

V. Phone/Fax

Practice location:
  • Phone: 305-891-0800
  • Fax:
Mailing address:
  • Phone: 305-609-3106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT22171
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: