Provider Demographics
NPI:1215620448
Name:RUBI, INGRID (HHA)
Entity type:Individual
Prefix:
First Name:INGRID
Middle Name:
Last Name:RUBI
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:256 SE SAINT LUCIE BLVD APT 103
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34996-1395
Mailing Address - Country:US
Mailing Address - Phone:407-452-4546
Mailing Address - Fax:
Practice Address - Street 1:256 SE SAINT LUCIE BLVD APT 103
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34996-1395
Practice Address - Country:US
Practice Address - Phone:407-452-4546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-01
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4649374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide