| Doctor Name: | DR. SAMUEL MARK RUBEN |
| NPI Number: | 1679606156 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD5759 |
| Business Practice Address: | 900 Leilani St Hilo, HI - 967207512 |
| Business Phone Number: | 8084302596 |
| Business Fax Number: | 8089349360 |
| Mailing Address: | 2176 Kaiwiki Rd, HILO |
| State: | HI |
| Postal Code: | 967209722 |
| Phone Number: | 8084302596 |
| Fax Number: | 8089349360 |
| NPI Enumeration Date: | 03/13/2007 |
| NPI Last Update Date: | 11/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD5759 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | HI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |