Provider Demographics
NPI:1316071426
Name:RUBIO, ALINA BARBARA (LCDA)
Entity type:Individual
Prefix:MRS
First Name:ALINA
Middle Name:BARBARA
Last Name:RUBIO
Suffix:
Gender:F
Credentials:LCDA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 PLAZA SILVESTRE
Mailing Address - Street 2:URB. ENTRERIOS
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-6169
Mailing Address - Country:US
Mailing Address - Phone:787-755-1470
Mailing Address - Fax:
Practice Address - Street 1:PC1 CALLE 274
Practice Address - Street 2:AVE. COMANDANTE, COUNTRY CLUB
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00982-2769
Practice Address - Country:US
Practice Address - Phone:787-762-4200
Practice Address - Fax:787-768-0645
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3745246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR3745OtherM.T. LICENSE