Provider Demographics
NPI:1245261882
Name:RUBI, JORGE ULISES (MD)
Entity type:Individual
Prefix:DR
First Name:JORGE
Middle Name:ULISES
Last Name:RUBI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-7315
Mailing Address - Fax:717-741-3056
Practice Address - Street 1:2350 FREEDOM WAY STE 150
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-8200
Practice Address - Country:US
Practice Address - Phone:717-851-7315
Practice Address - Fax:717-741-3056
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD067674L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0077216000OtherAMERIHEALTH 65 PA
PA039811OtherJOHNS HOPKINS
PA54094OtherGEISINGER
PA7145869OtherAETNA
PA001737756Medicaid
PA434779OtherHIGHMARK BLUE SHIELD
MD779864OtherCAREFIRST MD BCBS
PA91734OtherUNISON-WMG
PA01105502OtherCAPITAL BLUE CROSS-WMG
PA268937OtherMAMSI-WMG
PAP002877OtherGATEWAY-WMG
PA1142433OtherAMERIHEALTH MERCY-WMG
PA434779OtherHIGHMARK BLUE SHIELD