Provider Demographics
NPI:1962500306
Name:TORIBIO, RUBEN DARIO (MD)
Entity Type:Individual
Prefix:DR
First Name:RUBEN
Middle Name:DARIO
Last Name:TORIBIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:435 BAY RIDGE PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-2701
Mailing Address - Country:US
Mailing Address - Phone:718-492-8621
Mailing Address - Fax:718-492-8623
Practice Address - Street 1:435 BAY RIDGE PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-2701
Practice Address - Country:US
Practice Address - Phone:718-492-8621
Practice Address - Fax:718-492-8623
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY203534208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01668139Medicaid
NY57L481Medicare ID - Type Unspecified
NYG34656Medicare UPIN