Provider Demographics
NPI:1083911143
Name:LLUBERES RINCON, NUBIA G (MD)
Entity Type:Individual
Prefix:DR
First Name:NUBIA
Middle Name:G
Last Name:LLUBERES RINCON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NUBIA
Other - Middle Name:
Other - Last Name:LLUBERES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:9119 HIGHWAY 6 SUITE 230
Mailing Address - Street 2:#145
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4979
Mailing Address - Country:US
Mailing Address - Phone:832-789-3093
Mailing Address - Fax:832-282-6717
Practice Address - Street 1:3131 EASTSIDE ST STE 415
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098
Practice Address - Country:US
Practice Address - Phone:832-789-3093
Practice Address - Fax:832-282-6717
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-24
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP100317182084P0800X
WV248022084P0800X
TXP33802084P0800X
PAMD4552932084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV5922500001Medicare PIN
WV55-0738905OtherFEDERAL TAX ID
WV3810024629Medicaid