| Ruben S. Velasquez, M.d., Inc. | |
|
1460 N Camino Alto Suite 106 Vallejo CA 94589-2567 | |
| (707) 644-5297 | |
| (707) 644-1331 |
| Full Name | Ruben S. Velasquez, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1460 N Camino Alto, Vallejo, California |
| Authorized Official Name and Position | Ruben San Diego Velasquez (PRESIDENT) |
| Authorized Official Contact | 7076445297 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruben S. Velasquez, M.d., Inc. 1460 N Camino Alto Suite 106 Vallejo CA 94589-2567 Ph: (707) 644-5297 | Ruben S. Velasquez, M.d., Inc. 1460 N Camino Alto Suite 106 Vallejo CA 94589-2567 Ph: (707) 644-5297 |
| NPI Number | 1346496213 |
|---|---|
| Provider Enumeration Date | 08/12/2008 |
| Last Update Date | 08/12/2008 |
| Medicare PECOS PAC ID | 7719149582 |
|---|---|
| Medicare Enrollment ID | O20120425000049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346496213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A26381 (California) | Primary |
| Provider Name | Madhusudan Borde |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437210754 PECOS PAC ID: 3971684424 Enrollment ID: I20080122000822 |
| Provider Name | Ruben S Velasquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659451854 PECOS PAC ID: 5890957666 Enrollment ID: I20120425000075 |
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