Romeo Gonzaga Icasiano
MD | Pediatrics | Male
Romeo Gonzaga Icasiano, MD is a Montrose, Colorado based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Romeo Gonzaga Icasiano is
947 So 5th St, Montrose, Colorado - 81401-5716. He can be contacted on phone at
870-249-2421 and fax number 970-249-8897.
Romeo Gonzaga Icasiano is a sole proprietor of his business.
NPI number (Unique professional ID) for Romeo Gonzaga Icasiano is
1114928066 which was assigned by NPPES on 02 Aug, 2005 and it was last updated on 10 Apr, 2012.
Romeo Gonzaga Icasiano license number is
37326 for Pediatrics (208000000X) in Colorado.
Romeo Gonzaga Icasiano is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Romeo Gonzaga Icasiano basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Romeo Gonzaga Icasiano |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Romeo Gonzaga Icasiano address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 947 So 5th St
Montrose, CO, 81401-5716
United States |
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| Phone Number : | 870-249-2421 |
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| Fax Number : | 970-249-8897 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1114928066 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 02 Aug, 2005 |
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| Last Updated On : | 10 Apr, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Romeo Gonzaga Icasiano are as mentioned. Primary taxonomy code for Romeo Gonzaga Icasiano, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 37326 | CO |
Legacy Identifiers:
Other legacy medical identifiers of Romeo Gonzaga Icasiano such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 01373265 | MEDICAID | CO | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 947 So 5th St
Montrose, CO, 81401-5716
United States |
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| Phone Number : | 870-249-2421 |
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| Fax Number : | 970-249-8897 |
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Business Location:
Patients can refer following map for directions to
Romeo Gonzaga Icasiano practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.