MEDICARE: RICARDO 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
1	207Q00000X	Family Medicine Physician	2007-0458	NM

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

General Provider Information

NPI Number	:	1811187644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICARDO RUBIO M.D.

Provider Business Mailing Address
First Line	:	141 N ROADRUNNER PKWY STE 224
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-2001
Country	:	US
Telephone Number	:	575-524-8888
Fax Number	:	575-524-8132

Provider Business Practice Location Address
First Line	:	141 N ROADRUNNER PKWY STE 224
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-2001
Country	:	US
Telephone Number	:	575-524-8888
Fax Number	:	575-524-8132

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

Provider Enumeration Date	:	07/27/2007
Last Update Date	:	09/03/2020

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

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