Organization
ROLIMAR, PSC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTO A. PENNE-CASANOVA M.D. (SOLE PROPRIETOR)
(502) 899-6100
Entity
Organization
Contact information
Practice address
3991 DUTCHMANS LN, SUITE G03, LOUISVILLE, KY 40207-4700
(502) 899-6100
(502) 899-6108
Mailing address
PO BOX 847, PROSPECT, KY 40059-0847
(502) 753-0680
(502) 753-0687
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
37074
KY
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
37074
KY
324500000X
Substance Abuse Rehabilitation Facility
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000235989
ANTHEM BLUE CROSS BLUE SHIELD
KY
01
—
1170389
PASSPORT HEALTH PLAN
KY
05
—
200386450A
—
IN
01
—
2440624000
PASSPORT ADVANTAGE
KY
05
—
65937617
—
KY
01
—
P00022895
RAILROAD MEDICARE
KY
Enumeration date
02/09/2007
Last updated
03/10/2025
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