MEDICARE: RUBEN J AZOCAR MD

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	207L00000X	Anesthesiology Physician	204233	MA

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	:	1821083502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUBEN J AZOCAR MD

Provider Business Mailing Address
First Line	:	330 BROOKLINE AVE DEPT OF
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02215-5491
Country	:	US
Telephone Number	:	617-667-3110
Fax Number	:	781-407-0998

Provider Business Practice Location Address
First Line	:	1430 TULANE AVE # 8422
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70112-2632
Country	:	US
Telephone Number	:	504-988-0301
Fax Number	:

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

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	06/23/2025

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