Provider Demographics
NPI:1184691487
Name:CAYCO-BELL, RUBY ANN (MD)
Entity type:Individual
Prefix:
First Name:RUBY
Middle Name:ANN
Last Name:CAYCO-BELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RUBY
Other - Middle Name:ANN
Other - Last Name:CAYCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3100 SW 62ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-3009
Mailing Address - Country:US
Mailing Address - Phone:305-666-6511
Mailing Address - Fax:
Practice Address - Street 1:3100 SW 62ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-3009
Practice Address - Country:US
Practice Address - Phone:305-666-6511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-06
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME100409207PP0204X, 208000000X
PAMD071375L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA911056OtherHIGHMARK BS
FL280151500Medicaid
PA0812261000OtherINDEPENDENCE BC
PA0018307050001Medicaid
PA045297Medicare ID - Type Unspecified
H31381Medicare UPIN
PA0018307050001Medicaid