Provider Demographics
NPI:1992723878
Name:RUBINSTEIN, HECTOR TOMAS (MD)
Entity type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:TOMAS
Last Name:RUBINSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4512 KENNEDY BLVD
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-2707
Mailing Address - Country:US
Mailing Address - Phone:201-348-4442
Mailing Address - Fax:201-348-4475
Practice Address - Street 1:4512 KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-2707
Practice Address - Country:US
Practice Address - Phone:201-348-4442
Practice Address - Fax:201-348-4475
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2019-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA031398174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2955504-01Medicaid
NJ2955504-01Medicaid
NJ460281Medicare PIN