Provider Demographics
NPI:1003401035
Name:ARANDIA, RUBIROSA CERVANTES
Entity Type:Individual
Prefix:MRS
First Name:RUBIROSA
Middle Name:CERVANTES
Last Name:ARANDIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2778
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95344-0778
Mailing Address - Country:US
Mailing Address - Phone:093-849-4002
Mailing Address - Fax:209-384-8300
Practice Address - Street 1:3389 G ST
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-0981
Practice Address - Country:US
Practice Address - Phone:209-384-9401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-02
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95016825363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily