Provider Demographics
NPI:1447257340
Name:RUBINFELD, ALLAN RICARDO (MD)
Entity type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:RICARDO
Last Name:RUBINFELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8770 SUNSET DR
Mailing Address - Street 2:P.O. BOX # 326
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3512
Mailing Address - Country:US
Mailing Address - Phone:305-325-1100
Mailing Address - Fax:305-325-1188
Practice Address - Street 1:1321 NW 14TH ST
Practice Address - Street 2:SUITE # 400
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-1673
Practice Address - Country:US
Practice Address - Phone:305-325-1100
Practice Address - Fax:305-325-1188
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME90357207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL270218500Medicaid
FL270218500Medicaid
FLF57249Medicare UPIN