Gracia, Roland Manuel

Gracia, Roland Manuel is an individual health care provider with primary practice located at 1111 Crandon Blvd A1004, Key Biscayne FL 33149-2745. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Gracia, Roland Manuel can be contacted via phone (305) 562-2150.

Contact Information

Primary practice address
1111 Crandon Blvd A1004 Key Biscayne FL 33149-2745
Phone: (305) 562-2150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME34075 Florida

Profile Details

NPI number 1588690978
LBN Legal business name Gracia, Roland Manuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2006
Last updated Dec 30th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588690978 NPPES
Florida MEDICAID 261140600

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