Ycaza, Roberto J.

Ycaza, Roberto J. is an sole proprietor health care provider with primary practice located at 2105 Manatee Ave E , Bradenton FL 34208-1640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Ycaza, Roberto J. can be contacted via phone (941) 803-8395.

Contact Information

Primary practice address
2105 Manatee Ave E Bradenton FL 34208-1640
Phone: (941) 803-8395
Fax: (941) 803-8158
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X ME66839 Florida

Profile Details

NPI number 1437110236
LBN Legal business name Ycaza, Roberto J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2006
Last updated Jul 21st, 2015 - about 10 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 1437110236 NPPES
Florida MEDICAID 271586400
Florida Other 201862196

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