Provider Demographics
NPI:1427095314
Name:OCASIO-FERRER, RUBEN (MD)
Entity type:Individual
Prefix:
First Name:RUBEN
Middle Name:
Last Name:OCASIO-FERRER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:RUBEN
Other - Middle Name:
Other - Last Name:OCASIO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:111 SOUTHAMPTON DR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-8445
Mailing Address - Country:US
Mailing Address - Phone:863-224-2110
Mailing Address - Fax:407-348-9188
Practice Address - Street 1:12734 KENWOOD LN
Practice Address - Street 2:STE 84
Practice Address - City:FT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-5666
Practice Address - Country:US
Practice Address - Phone:239-936-5250
Practice Address - Fax:239-936-9970
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME947962084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL274281100Medicaid
FL04449ZMedicare ID - Type Unspecified