Individual
DR. MARRIETH GARCIELA RUBIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3 RIVERSIDE CIRCLE, VA GULF COAST HEALTHCARE SYSTEM (111), ROANOKE, VA 24016
(540) 224-5170
(540) 983-8229
Mailing address
3 RIVERSIDE CIRCLE, ROANOKE, VA 24016
(540) 224-5170
(540) 983-8229
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
12454R
LA
207RI0008X
Hepatology Physician
12454R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12454R
MEDICAL LICENSE
LA
01
—
9800132
MEDICAL LICENSE
NC
01
—
V181009
TAXONOMY NUMBER
LA
Enumeration date
07/23/2006
Last updated
08/12/2011
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