| Organization Name: | RUBERO OPTICAL |
| NPI Number: | 1083900567 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MAGDA VANESSA RUBERO (OPTOMETRIST) |
| Mailing Address: | 19 Calle Munoz Rivera Trujillo Alto |
| State: | PR US |
| Postal Code: | 009765932 |
| Phone Number: | 7877552585 |
| Fax Number: | 7877484176 |
| NPI Enumeration Date: | 06/23/2011 |
| NPI Last Update Date: | 06/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 461 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |