Active NPI
Irvin Manuel Rubio, M.D.
- General Practice Physician
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN1325
- Practice address
- 1969 Sunset Piont Rd #15
Clearwater, FL 33765 - Phone
- (727) 443-7978
- Fax
- (877) 989-3173
- NPI assigned
- Mar 27, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 16765 | PR | |
| General Practice Physician | 208D00000X | ACN1325 | FL | Primary |
Addresses
Primary practice location
1969 Sunset Piont Rd #15
Clearwater, FL 33765
Mailing address
605 Calle Almendro
Los Colobos Park
Carolina, PR 00987-8305
Phone (787) 657-4558
Other practice location 1
F4 Calle Principal
Fajardo, PR 00738-3798
Phone (787) 860-5002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1969 Sunset Point Rd
Suite 15
Clearwater, FL 33765-1145
Phone (727) 443-7978
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACN1325 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Costa Este Medical Services Corp | Current | Accepting new patients | |
| Sunset Point Medical Associates Inc | Current | Accepting new patients | |
| Costa Este Medical Services LLC | Current | Accepting new patients | |
| East Coast Medical Services Inc | Past | Accepting new patients |
Locations
1969 Sunset Point Rd
Ste 15
Clearwater, FL 33765
Phone (727) 443-7978
3820 Tampa Rd
Ste 202
Palm Harbor, FL 34684
Phone (727) 785-4540
9550 US Highway 19
Ste 20
Port Richey, FL 34668
Phone (727) 310-0188
F4 Calle Principal
Fajardo, PR 00738
Phone (787) 224-9971
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Palm Harbor, FL
- NPI 1366641698
-
- Health Maintenance Organization
- Fajardo, PR
- NPI 1548430689
-
- Health Maintenance Organization
- Fajardo, PR
- NPI 1174007470
-
- Case Management Agency
- Fajardo, PR
- NPI 1588876858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1700904489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 CALLE ALMENDRO",
"address_2": "LOS COLOBOS PARK",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009878305",
"telephone_number": "787-657-4558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1969 SUNSET PIONT RD #15",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "33765",
"telephone_number": "727-443-7978",
"fax_number": "877-989-3173"
}
],
"practiceLocations": [
{
"address_1": "F4 Calle Principal",
"address_purpose": "LOCATION",
"city": "Fajardo",
"state": "PR",
"postal_code": "007383798",
"country_code": "US",
"telephone_number": "787-860-5002",
"fax_number": "787-860-5002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUBIO",
"first_name": "IRVIN",
"middle_name": "MANUEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2023-05-01",
"certification_date": "2023-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "16765",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN1325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.