Organization
CASA RUBEN INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIGIA PERALTA MD (PRESIDENT AND CEO)
(301) 445-2500
Entity
Organization
Contact information
Practice address
1700 ELTON RD STE 200, SILVER SPRING, MD 20903-1766
(301) 445-2500
(301) 650-0606
Mailing address
1700 ELTON RD STE 200, SILVER SPRING, MD 20903-1766
(301) 445-2500
(301) 650-0606
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
Other
Enumeration date
08/19/2022
Last updated
10/03/2022
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