MEDICARE: REUBEN ALIMBUYAO

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
1	367500000X	Certified Registered Nurse Anesthetist	ARNP9342193	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1083001788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REUBEN ALIMBUYAO

Provider Business Mailing Address
First Line	:	8405 SUMNER AVE
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-3809
Country	:	US
Telephone Number	:	432-599-1989
Fax Number	:

Provider Business Practice Location Address
First Line	:	8405 SUMNER AVE
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-3809
Country	:	US
Telephone Number	:	432-599-1989
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2015
Last Update Date	:	04/20/2015

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Directions to “ REUBEN ALIMBUYAO ” Practice Location

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