Provider Demographics
NPI:1619089026
Name:TRONO, RUBEN (MD)
Entity Type:Individual
Prefix:DR
First Name:RUBEN
Middle Name:
Last Name:TRONO
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 1:619 W SHORE DR
Mailing Address - Street 2:
Mailing Address - City:KEMAH
Mailing Address - State:TX
Mailing Address - Zip Code:77565-2412
Mailing Address - Country:US
Mailing Address - Phone:979-777-2828
Mailing Address - Fax:281-334-0592
Practice Address - Street 1:619 W SHORE DR
Practice Address - Street 2:
Practice Address - City:KEMAH
Practice Address - State:TX
Practice Address - Zip Code:77565-2412
Practice Address - Country:US
Practice Address - Phone:979-777-2828
Practice Address - Fax:281-334-0592
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG3864207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8G6603OtherBLUE CROSS
TX186162701Medicaid
TX186162701Medicaid
TX8J0759Medicare PIN
TXP00143370Medicare PIN