Look up the most recent NPI and PECOS records

Alvin Ruangsomboon

Emergency Medicine

Allopathic & Osteopathic Physicians

1100 NW 95th St, Miami, FL 33150-2038

PECOS Enrollment

Based on the most recent information from CMS, provider Alvin Ruangsomboon is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 4:18 PM.

Profile Details

Provider ID
1326011784
Provider Type
Individual
Full Name
Ruangsomboon, Alvin
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
2/8/2006
Last Updated
5/21/2008

Contact Information

Practice Location

1100 NW 95th St, Miami, FL 33150-2038

(954) 462-5533

(305) 694-4810

Mailing Location

1504 Bay Rd, 3204, Miami Beach, FL 33139-3268

(773) 480-0629

(919) 425-0468

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License ME93802 Florida

Provider Identifiers

ID	Description	Issuer
ID 273518100	Description Medicaid	Issuer Unlisted Florida

Alvin Ruangsomboon

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Hubsher, Grant Spencer

Downey, Christopher

Labro, Henrick

Chine, Harrison Obinna

Schmerling, Lori Beth

Plotkin, Marc

Greene, Theresa

Gomes, Joseph

Flagge, Joseph John

Emergency Medicine Specialists Of South Florida