Provider Demographics
NPI:1467873703
Name:RHUBY, ERICA
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:RHUBY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:
Other - Last Name:RAMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:77 W 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-5102
Mailing Address - Country:US
Mailing Address - Phone:303-412-3900
Mailing Address - Fax:303-412-3405
Practice Address - Street 1:77 W 5TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-5102
Practice Address - Country:US
Practice Address - Phone:303-412-3900
Practice Address - Fax:303-412-3405
Is Sole Proprietor?:No
Enumeration Date:2014-01-03
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator