Individual
DR. IVAN ROSICH CAPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
JOSE CELSO BARBOSA 16, LAS PIEDRAS, PR 00771
(787) 733-4555
(787) 733-4555
Mailing address
BALCONES DE MONTE REAL, APT 405-A, CAROLINA, PR 00987
(787) 733-4555
(787) 733-4555
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
208D00000X
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012663
HUMANA HEALTH PLANS OF PR
PR
01
—
061825
CRUZ AZUL
PR
01
—
1770
AMERICAN HEALTH
PR
01
—
20135
TRIPLE S
PR
01
—
2386
PREFERED MEDICARE CHOICE
PR
01
—
500150SE
MEDICARE Y MUCHO MAS
PR
01
—
A047
FIRST MEDICAL
PR
Enumeration date
06/15/2006
Last updated
11/08/2012
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