Individual provider Active NPI

Jaime Eli Rubio Gonzalez, MD

  • General Practice Physician
  • Ocala, FL
National Provider Identifier
1255532933
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN194 Issued in FL
Practice address
1133 SE 18TH PL Ste 2
Ocala, FL 34471-5404
Phone
(352) 861-5765
Fax
(352) 732-8036
NPI assigned
May 30, 2007
Last updated
May 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN194 FL Primary

Addresses

Primary practice location

1133 SE 18TH PL Ste 2
Ocala, FL 34471-5404

Mailing address

1133 SE 18TH PL Ste 2
Ocala, FL 34471-5404
Phone (352) 861-5765

Other identifiers 1

IdentifierTypeStateIssuer
280272400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080527000812 FL Practitioner - General Practice 1557273257 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1133 SE 18TH PL
Suite 2
Ocala, FL 34471-5404
Phone (352) 861-5765

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14877PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Geriatric Care LLC General Practice CurrentSince Sep 25, 2021 Accepting new patients
Vals Holistic Wellness LLC PastSince Aug 22, 2019 Accepting new patients

Locations

1133 SE 18th Pl
Ste 2
Ocala, FL 34471
Phone (352) 861-5765

Interoperability endpoints

  • Direct secure messaging: jaime.rubio.gonzalez.1@18077.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1255532933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 SE 18TH PL STE 2",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715404",
            "telephone_number": "352-861-5765",
            "fax_number": "352-867-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 SE 18TH PL STE 2",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715404",
            "telephone_number": "352-861-5765",
            "fax_number": "352-732-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIO GONZALEZ",
        "first_name": "JAIME",
        "middle_name": "ELI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280272400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.