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Individual

JOSE M. RUB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
21110 BISCAYNE BLVD STE 106, AVENTURA, FL 33180-1228
(305) 932-1007
(305) 696-6225
Mailing address
21110 BISCAYNE BLVD STE 106, AVENTURA, FL 33180-1228
(305) 932-1007
(305) 696-6225

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME54702
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000685
CIGNA 2
FL
01
000101139
HUMANA
FL
01
002546
NHP
FL
01
015064
AVMED
FL
05
051963400
FL
01
09212
BCBS
FL
01
1061221005
CIGNA
FL
01
1200282
UNITED MEDICAID
FL
01
1202312
UNITED
FL
01
4113848
AETNA
FL
Enumeration date
04/25/2006
Last updated
11/14/2023
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