Roncancio, Jaime R

Roncancio, Jaime R is an individual health care provider with primary practice located at 2500 Sw 75Th Ave , Miami FL 33155-2805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Roncancio, Jaime R can be contacted via phone (305) 264-5252.

Contact Information

Primary practice address
2500 Sw 75Th Ave Miami FL 33155-2805
Phone: (305) 264-5252
Fax: (800) 536-8431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS0007634 Florida

Profile Details

NPI number 1467400655
LBN Legal business name Roncancio, Jaime R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated May 22nd, 2008 - about 17 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 1467400655 NPPES
Florida Other 49699 BCBS
Florida Other P00367253 BCBS
Florida MEDICAID 258231700 BCBS

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