Provider Demographics
NPI:1972751972
Name:FUERTEZ, RULA RABAN (MD)
Entity type:Individual
Prefix:
First Name:RULA
Middle Name:RABAN
Last Name:FUERTEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25485 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-6900
Mailing Address - Country:US
Mailing Address - Phone:951-894-4436
Mailing Address - Fax:951-301-6514
Practice Address - Street 1:25485 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 200
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-6900
Practice Address - Country:US
Practice Address - Phone:951-894-4436
Practice Address - Fax:951-301-6514
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA102210207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology