Peralta, Ruben

Peralta, Ruben is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Surgical Critical Care, Worcester MA 01655-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as his primary health care specialty. Peralta, Ruben can be contacted via phone (508) 856-5288.

Contact Information

Primary practice address
55 Lake Ave N Department Of Surgical Critical Care Worcester MA 01655-0002
Phone: (508) 856-5288
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 207831 Massachusetts

Profile Details

NPI number 1841281078
LBN Legal business name Peralta, Ruben
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841281078 NPPES
Massachusetts MEDICAID 0105465

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