Provider Demographics
NPI:1487658035
Name:HONRUBIA, VINCENT F (MD)
Entity Type:Individual
Prefix:MR
First Name:VINCENT
Middle Name:F
Last Name:HONRUBIA
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:PO BOX 600
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78540-0600
Mailing Address - Country:US
Mailing Address - Phone:956-661-8200
Mailing Address - Fax:956-661-8205
Practice Address - Street 1:4865 N. MCCOLL RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504
Practice Address - Country:US
Practice Address - Phone:956-661-8200
Practice Address - Fax:956-661-8205
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-10
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8273174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX130514608Medicaid
TX155128501Medicaid
TX00772TOtherMEDICARE GR #
TX8340B7Medicare PIN