Provider Demographics
NPI:1649063702
Name:BASILIO, RUBY JASMIN
Entity type:Individual
Prefix:
First Name:RUBY
Middle Name:JASMIN
Last Name:BASILIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RUBY
Other - Middle Name:JASMIN
Other - Last Name:RAMOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5 ORLANDO ST APT 10
Mailing Address - Street 2:
Mailing Address - City:MATTAPAN
Mailing Address - State:MA
Mailing Address - Zip Code:02126-1765
Mailing Address - Country:US
Mailing Address - Phone:857-397-9442
Mailing Address - Fax:
Practice Address - Street 1:5 ORLANDO ST APT 10
Practice Address - Street 2:
Practice Address - City:MATTAPAN
Practice Address - State:MA
Practice Address - Zip Code:02126-1765
Practice Address - Country:US
Practice Address - Phone:857-397-9442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula