Mario A. Rubio, L.S.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

SA00141 Issued in TX

Practice address

2715 Ferry LNDG
Sugar Land, TX 77478-4314

Phone

(713) 254-3010

Fax

(281) 416-4225

NPI assigned

Mar 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Metropolitan Surgical Assistant Services

  • Surgical Physician Assistant
  • Sugar Land, TX
  • NPI 1316113046
  NPD (past) Authorized official

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871622829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 FERRY LNDG",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784314",
            "telephone_number": "713-254-3010",
            "fax_number": "281-416-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 FERRY LNDG",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784314",
            "telephone_number": "713-254-3010",
            "fax_number": "281-416-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIO",
        "first_name": "MARIO",
        "middle_name": "A.",
        "credential": "L.S.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Royal Dialysis Center, LLC
• Royal Oaks Pharmacy LLC (Royal Oaks Pharmacy)
• Royal Surgical Group, LLC
• RT Barowsky Inc
• Alan Marc Rubin, MD
• Rubymd
• Jill Michelle Ruckman, MS CCC SLP
• Mosunmola O Rufai, PMHNP
• Jamie Benae Rufo, LPC
• Grethel Veronica Ruiz, M.D.

• Surgical Physician Assistant in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.