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Individual

JOSE R ROVIRA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11760 SW 40TH ST, SUITE 646, MIAMI, FL 33175-3582
(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
207RR0500X
Rheumatology Physician
Primary
ME25875
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209132
AVMED
01
52081
JMH
01
60003194
RAILROAD MEDICAID
GA
01
95530
BLUE SHIELD
FL
01
D64806
VISTA
01
ME0025875
WORK/COMP
Enumeration date
09/06/2005
Last updated
07/08/2007
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