Provider Demographics
NPI:1588538417
Name:RUMAR HEALTHCARE
Entity type:Organization
Organization Name:RUMAR HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:YAMILE
Authorized Official - Last Name:MARCELLUS
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:860-884-6285
Mailing Address - Street 1:105 S 97TH ST APT G204
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85208-1962
Mailing Address - Country:US
Mailing Address - Phone:860-884-6285
Mailing Address - Fax:860-884-6285
Practice Address - Street 1:105 S 97TH ST APT G204
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85208-1962
Practice Address - Country:US
Practice Address - Phone:860-884-6285
Practice Address - Fax:860-884-6285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty