Provider Demographics
NPI:1417131236
Name:RUBIO, AGUSTIN (MD)
Entity Type:Individual
Prefix:MR
First Name:AGUSTIN
Middle Name:
Last Name:RUBIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 11TH ST
Mailing Address - Street 2:
Mailing Address - City:REEDLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93654-2926
Mailing Address - Country:US
Mailing Address - Phone:559-638-3227
Mailing Address - Fax:559-638-3799
Practice Address - Street 1:1311 11TH ST
Practice Address - Street 2:
Practice Address - City:REEDLEY
Practice Address - State:CA
Practice Address - Zip Code:93654-2926
Practice Address - Country:US
Practice Address - Phone:559-638-3227
Practice Address - Fax:559-638-3799
Is Sole Proprietor?:No
Enumeration Date:2007-12-28
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA101372207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine