Provider Demographics
NPI:1548512478
Name:ADAM J. RUBINSTEIN, MD, PA
Entity type:Organization
Organization Name:ADAM J. RUBINSTEIN, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:JASON
Authorized Official - Last Name:RUBINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-792-7575
Mailing Address - Street 1:19495 BISCAYNE BLVD
Mailing Address - Street 2:SUITE 200/201
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2318
Mailing Address - Country:US
Mailing Address - Phone:305-792-7575
Mailing Address - Fax:305-792-7574
Practice Address - Street 1:19495 BISCAYNE BLVD
Practice Address - Street 2:SUITE 200/201
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2318
Practice Address - Country:US
Practice Address - Phone:305-792-7575
Practice Address - Fax:305-792-7574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-02
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL77538261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL268677500Medicaid