Individual
DR. JUAN JOSE IBARRA-ROVIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
N8794
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281248909
—
TX
01
—
281248910
CSHCN
TX
01
—
8KI708
BCBS
TX
Enumeration date
02/21/2011
Last updated
02/06/2019
Update your record
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