Provider Demographics
NPI:1760411003
Name:GIL, RUBEN JESUS (MD)
Entity Type:Individual
Prefix:
First Name:RUBEN
Middle Name:JESUS
Last Name:GIL
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 1:9065 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
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0036645207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL069641200Medicaid
FL96249Medicare ID - Type Unspecified
FL069641200Medicaid