Individual
DR. ROBERTO CARLOS IGLESIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794
Mailing address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01073663A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000863595
ANTHEM BLUE CROSS BLUE SHIELD
IN
01
—
01073663
INDIANA STATE LICENSE
IN
05
—
201221530
—
IN
05
—
7100298220
—
KY
Enumeration date
07/16/2006
Last updated
03/06/2024
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