Individual
DR. EDMUNDO RAUL RUBIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 CRYSTAL SPRING AVE SW, SUITE 205, ROANOKE, VA 24014-2462
(540) 985-8505
(540) 344-3313
Mailing address
2001 CRYSTAL SPRING AVE SW, SUITE 205, ROANOKE, VA 24014-2462
(540) 985-8505
(540) 344-3313
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101-243666
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
17151
MS
207RP1001X
Pulmonary Disease Physician
Primary
0101-243666
VA
207RP1001X
Pulmonary Disease Physician
17151
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124283
—
MS
Enumeration date
09/16/2006
Last updated
07/26/2013
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