Rubio, Edmundo Raul

Rubio, Edmundo Raul is an individual health care provider with primary practice located at 2001 Crystal Spring Ave Sw Suite 205, Roanoke VA 24014-2462. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Rubio, Edmundo Raul can be contacted via phone (540) 985-8505.

Contact Information

Primary practice address
2001 Crystal Spring Ave Sw Suite 205 Roanoke VA 24014-2462
Fax: (540) 344-3313
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 17151 Mississippi
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 17151 Mississippi
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 0101-243666 Virginia
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 0101-243666 Virginia

Profile Details

NPI number 1619073491
LBN Legal business name Rubio, Edmundo Raul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Jul 26th, 2013 - about 11 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 1619073491 NPPES
Mississippi MEDICAID 00124283

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