Healthcare Provider Details

I. General information

NPI: 1801702212
Provider Name (Legal Business Name): SATURNINO RUBEN MASIN CDCA-195871
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3305 W 25TH ST
CLEVELAND OH
44109-1613
US

IV. Provider business mailing address

3305 W 25TH ST
CLEVELAND OH
44109-1613
US

V. Phone/Fax

Practice location:
  • Phone: 216-459-1222
  • Fax:
Mailing address:
  • Phone: 216-459-1222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA-195871
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: