Organization
JOSE R ROVIRA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE R ROVIRA MD (PRESIDENT)
(305) 552-5354
Entity
Organization
Contact information
Practice address
11760 SW 40 STREET, SUITE 646, MIAMI, FL 33175-8101
(305) 552-5354
(305) 222-8444
Mailing address
PO BOX 565006, MIAMI, FL 33256-5006
(305) 552-5354
(305) 222-8444
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME25875
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065067600
—
FL
01
—
95530
BLUE SHIELD
FL
Enumeration date
07/07/2010
Last updated
07/07/2010
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