Male or Other

Ruben L. Raya Campos MD.

Internal Medicine Physician in St Petersburg, FL(View on Map)

Full Name

Ruben Lazaro Raya Campos MD.

NPI Number

1285976027

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/19/2013

Specialties

(Taxonomies)

Code

207R00000X
208M00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida
New York
Texas

License Number

ME139472
285592
R2452

Contact
Information

Purpose

Mailing
Location

Address

1839 CENTRAL AVE
1839 CENTRAL AVE

City

St Petersburg
St Petersburg

State

FL
FL

Postal Code

33713-8900
33713-8900

Country

US
US

Telephone Number

(727) 322-1054
(727) 322-1054

Identifiers

Identifier

113042300
1LMY1

Identifier State

FL
FL

Identifier Issuer

Unknown
BCBS

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/11/2024

Provider Address

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