Individual
DR. MIGUEL JOSE ROVIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 LONGWOOD AVE, ROCKLEDGE, FL 32955-2828
(321) 636-2211
Mailing address
1 PISCES LN, ROCKLEDGE, FL 32955-5742
(321) 536-7835
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
ME55001
FL
2085N0700X
Neuroradiology Physician
ME55001
FL
2085R0202X
Diagnostic Radiology Physician
Primary
55001
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258508100
—
FL
01
—
300129965
MEDICARE RAILROAD
FL
01
—
35240
BCBC FLORIDA
FL
Enumeration date
02/17/2006
Last updated
09/16/2021
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