Organization Active NPI

Clinica Dr Rubio LLC

  • General Practice Physician
  • Bradenton, FL
National Provider Identifier
1972936375
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CLINICA DR RUBIO LLC
Practice address
2114 Manatee Ave E
Bradenton, FL 34208
Phone
(941) 896-9944
NPI assigned
Aug 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Jaime F Rubio
Title
Doctor
Phone
(941) 735-8315

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X FL
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2114 Manatee Ave E
Bradenton, FL 34208

Mailing address

2114 Manatee Ave E
Bradenton, FL 34208-1660
Phone (941) 896-9944

Other identifiers 1

IdentifierTypeStateIssuer
008832400MedicaidFL

National Provider Directory

National Provider Directory

Locations

2114 Manatee Ave E
Bradenton, FL 34208
Phone (941) 896-7767

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972936375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081660",
            "telephone_number": "941-896-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34208",
            "telephone_number": "941-896-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DR RUBIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2022-07-21",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "RUBIO",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "941-735-8315",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008832400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.