Individual provider Active NPI

Francisco Ramiro Rubio Jr., D.D.S.

  • Dentist
  • San Antonio, TX
National Provider Identifier
1790124188
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
29144 Issued in TX
Practice address
3766 Tupelo LN Apt 1808
San Antonio, TX 78229-2213
Phone
(210) 421-9365
NPI assigned
Jun 18, 2013
Last updated
Jun 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 29144 TX Primary

Addresses

Primary practice location

3766 Tupelo LN Apt 1808
San Antonio, TX 78229-2213

Mailing address

3766 Tupelo LN Apt 1808
San Antonio, TX 78229-2213
Phone (210) 421-9365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170216000394 TX Order and Referring Only - DentistPractitioner - Dentist 3870876980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29144TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1790124188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3766 TUPELO LN APT 1808",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292213",
            "telephone_number": "210-421-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3766 TUPELO LN APT 1808",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292213",
            "telephone_number": "210-421-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIO",
        "first_name": "FRANCISCO",
        "middle_name": "RAMIRO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.