Active NPI
Wilfredo V. Rubio, MD.
- General Practice Physician
- Valencia, PA
National Provider Identifier
1326303892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD0348831L
- Practice address
- 210 Kozy Corner Rd.
Valencia, PA 16059-3416 - Phone
- (724) 898-1413
- NPI assigned
- Jul 10, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD0348831L | PA | Primary |
Addresses
Primary practice location
210 Kozy Corner Rd.
Valencia, PA 16059-3416
Mailing address
210 Kozy Corner Rd.
Valencia, PA 16059-3416
Phone (724) 898-1413
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0348831L | PA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Syed S Hyder | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341878400000",
"number": "1326303892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 KOZY CORNER RD.",
"city": "VALENCIA",
"state": "PA",
"postal_code": "160593416",
"telephone_number": "724-898-1413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 KOZY CORNER RD.",
"city": "VALENCIA",
"state": "PA",
"postal_code": "160593416",
"telephone_number": "724-898-1413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIO",
"first_name": "WILFREDO",
"middle_name": "V.",
"credential": "MD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-10",
"last_updated": "2012-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PA",
"license": "MD0348831L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valencia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.