Provider Demographics
NPI:1619131695
Name:RUBEN J GIL MD PA
Entity Type:Organization
Organization Name:RUBEN J GIL MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RUBEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:GIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-273-6010
Mailing Address - Street 1:9065 SW 87TH AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2307
Mailing Address - Country:US
Mailing Address - Phone:305-273-6010
Mailing Address - Fax:305-670-4155
Practice Address - Street 1:9065 SW 87TH AVE STE 100
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2307
Practice Address - Country:US
Practice Address - Phone:305-273-6010
Practice Address - Fax:305-670-4155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-18
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAL113Medicare PIN