Healthcare Provider Details

I. General information

NPI: 1083911143
Provider Name (Legal Business Name): NUBIA G LLUBERES RINCON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NUBIA LLUBERES RINCON MD

II. Dates (important events)

Enumeration Date: 02/24/2011
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 68TH ST SE
GRAND RAPIDS MI
49548-6927
US

IV. Provider business mailing address

3131 EASTSIDE ST STE 450
HOUSTON TX
77098-1947
US

V. Phone/Fax

Practice location:
  • Phone: 616-455-5000
  • Fax: 616-455-5960
Mailing address:
  • Phone: 832-789-3093
  • Fax: 833-282-6717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number24802
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberBP10031718
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberP3380
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD455293
License Number StatePA
# 5
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number4301515758
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: