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Individual

RUBEN A MIGUEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7575 NORTHCLIFF AVE, SUITE 102, BROOKLYN, OH 44144-3267
(216) 398-8196
(216) 398-8192
Mailing address
7575 NORTHCLIFF AVE, SUITE 102, BROOKLYN, OH 44144-3267
(216) 398-8196
(216) 398-8192

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
35035000
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000030862
UNICARE
05
0242759
OH
01
105350
KAISER
01
341847368035
CARESOURCE
OH
01
393476
WELLCARE OF OHIO
OH
01
P35000
SUMMACARE
Enumeration date
09/12/2005
Last updated
01/28/2010
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