Provider Demographics
NPI:1609910900
Name:RUMA, MICHAEL S (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:S
Last Name:RUMA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:201 CEDAR ST SE
Mailing Address - Street 2:#405
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-4917
Mailing Address - Country:US
Mailing Address - Phone:505-764-9535
Mailing Address - Fax:505-843-9646
Practice Address - Street 1:201 CEDAR ST SE
Practice Address - Street 2:#405
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-4917
Practice Address - Country:US
Practice Address - Phone:505-764-9535
Practice Address - Fax:505-843-9646
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2012-07-16
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Provider Licenses
StateLicense IDTaxonomies
NMMD2008-0515207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM08653364Medicaid
NM08653364Medicaid
NM300875Medicare PIN