DR. RUBEN EUSTAQUIO SIASOCO (NPI# 1376870014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376870014 |
| Entity Type | Individual |
| Full Name | DR. RUBEN EUSTAQUIO SIASOCO |
| Credential | MD |
| Practice Address |
1129 Pacifica Ave Chula Vista CA 91913-1552 |
| Practice Telephone | 6196567313 |
| Mailing Telephone | 6196567313 |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2009-11-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 4301047935 | MI | Other Service Providers |
| Street Address |
1129 PACIFICA AVE |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91913-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774342 | Tiffany Sheffield | Physical Therapist | 1392 E Palomar Street, Suite 503, Chula Vista, CA 91913 | 2019-08-05 |
| 1710457379 | Jacqueline Rae Dagostino | Physical Therapist | 1392 E Palomar St Suite 503, Chula Vista, CA 91913 | 2018-11-27 |
| 1750806840 | Evette Pablo | Registered Nurse | 904 Saint Germain Road, Chula Vista, CA 91913 | 2017-08-09 |
| 1760912364 | Ferdinand San Jose | Registered Nurse | 1954 Marquis Court, Chula Vista, CA 91913 | 2017-06-15 |
| 1447640693 | Ian Christopher So Ignacio | Occupational Therapy Assistant | 1575 Golden Gate Ave, Chula Vista, CA 91913 | 2015-01-27 |
| 1396154274 | Helen Moreno | Dentist | 2009 Chardonnay Terrace, Chula Vista, CA 91913 | 2014-08-05 |
| 1801232236 | Edgar N Ibay | Military Health Care Provider | 1992 Caminito De La Cruz, Chula Vista, CA 91913 | 2013-05-13 |
| 1699093765 | Medical Logistics Management Inc. | Ambulance | 3130 Bonita Rd., Chula Vista, CA 91913 | 2010-05-13 |
| 1295066959 | Candice Aquino Claudio | Physical Therapist | 1400 E. Palomar, Chula Vista, CA 91913 | 2010-01-20 |
| 1417136128 | Alshafie Mohamed Hassan | Internal Medicine | 1400 East Palomar Street, Chula Vista, CA 91913 | 2007-10-30 |
| Find all providers in zip 91913 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396296539 | Esteban Monge | Specialist | 1489 Taber Dr, Chula Vista, CA 91911-7037 | 2016-10-24 |
| 1871971853 | Miriam Minerva Nino | Specialist | 1468 S Creekside Dr, Chula Vista, CA 91915-1563 | 2015-05-11 |
| 1871929455 | Jean-michel Balensi | Specialist | 280 Landis Ave, Chula Vista, CA 91910-2627 | 2013-09-16 |
| 1346514965 | Caleb Dominguez | Specialist | 1009 Oak Hill Dr, Chula Vista, CA 91915-1409 | 2012-02-29 |
| 1730478512 | Juana Hortencia Hernandez | Specialist | 333 H St Ste 5065, Chula Vista, CA 91910-5555 | 2011-04-01 |
| 1588899512 | Erick H. Alayo Medical Corporation | Specialist | 353 Church Ave, Suite A, Chula Vista, CA 91910-3906 | 2009-05-19 |
| 1366617540 | Angela Anita Rackley | Specialist | 178 Eckman Ct, Chula Vista, CA 91911-5203 | 2008-04-28 |
| 1801075643 | Daniel B Cullan II Md Inc | Specialist | 955 Lane Ave Ste 200, Chula Vista, CA 91914-4525 | 2007-10-29 |
| 1326101247 | Robin Victor Smith | Specialist | 450 4th Ave Ste 402, Chula Vista, CA 91910-4430 | 2006-12-19 |
| 1740341957 | Lori Arnold | Specialist | 752 Medical Center Ct Ste 207, Chula Vista, CA 91911-6660 | 2006-12-12 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91913 |
Please comment or provide details below to improve the information on DR. RUBEN EUSTAQUIO SIASOCO.
| 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.