Provider Demographics
NPI:1477059129
Name:ALRUBAYE, HIBA SAFAULDEEN
Entity Type:Individual
Prefix:
First Name:HIBA
Middle Name:SAFAULDEEN
Last Name:ALRUBAYE
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 1:3006 N EVERGREEN CIR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-8652
Mailing Address - Country:US
Mailing Address - Phone:561-808-3606
Mailing Address - Fax:
Practice Address - Street 1:3006 N EVERGREEN CIR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-8652
Practice Address - Country:US
Practice Address - Phone:561-808-3606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-02
Last Update Date:2018-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDRP1819122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty