MR. RUBEN AQUINO TOBILLO JR.


Address: 2743 Northampton Ave, Orlando, FL 32828-7910
Phone: 4074527447

MR. RUBEN AQUINO TOBILLO JR. (NPI# 1114487089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114487089
Entity Type Individual
Full Name MR. RUBEN AQUINO TOBILLO JR.
Credential PMHNP
Practice Address 2743 Northampton Ave
Orlando
FL 32828-7910
Practice Telephone 4074527447
Mailing Telephone 4074527447
Enumeration Date 2019-03-25
Last Update Date 2019-03-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
2720122 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2743 NORTHAMPTON AVE
City ORLANDO
State FL
Zip Code 32828-7910

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City ORLANDO
Zip Code 32828

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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