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NPI Code Detail

MEDICARE: ERNESTO RUBIO M.D.

MEDICARE:   ERNESTO  RUBIO  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician8109NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003874413
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERNESTO RUBIO M.D.
Provider Business Mailing Address
First Line : 1800 W. CHARLESTON BLVD. STE. 508
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102
Country : US
Telephone Number : 702-383-2688
Fax Number : 702-671-6595
Provider Business Practice Location Address
First Line : 5785 CENTENNIAL CENTER BLVD. STE. 230
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149
Country : US
Telephone Number : 702-383-2273
Fax Number : 702-366-0570
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 08/05/2025

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Directions to “ ERNESTO RUBIO M.D.” Practice Location

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