Individual provider Active NPI

Irvin Manuel Rubio, M.D.

  • General Practice Physician
  • Clearwater, FL
National Provider Identifier
1700904489
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1325 Issued in FL
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

Updated by the provider on May 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080529000587 PR Practitioner - General Practice 5890865133 Reassigns benefits to 1 organization
Practice locations: Fajardo, PR
I20221117001672 FL Practitioner - General Practice 5890865133 Reassigns benefits to 1 organization

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
Sunset Point Medical Associates IncGroup PAC ID 8123922663, 4 clinicians

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

LicenseStateTypeSpecialty
ACN1325FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Costa Este Medical Services Corp CurrentSince Oct 11, 2019 Accepting new patients
Sunset Point Medical Associates Inc CurrentSince Oct 3, 2022 Accepting new patients
Costa Este Medical Services LLC CurrentSince Oct 11, 2019 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.

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

Verify at the official NPI Registry.