DR. ROBERTO J. YCAZA (NPI# 1437110236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437110236 |
| Entity Type | Individual |
| Full Name | DR. ROBERTO J. YCAZA |
| Credential | M.D. |
| Practice Address |
2105 Manatee Ave E Bradenton FL 34208-1640 |
| Practice Telephone | 9418038395 |
| Practice Fax Number | 9418038158 |
| Mailing Telephone | 9418038395 |
| Mailing Fax Number | 9418038158 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2015-07-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
ME66839 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 271586400 | 05 | |
| FL | TAX IDENTIFICATION | 201862196 | 01 |
| Street Address |
2105 MANATEE AVE E |
| City | BRADENTON |
| State | FL |
| Zip Code | 34208-1640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831165281 | John R Ayres | Orthopaedic Surgery | 2105 Manatee Ave E, Bradenton, FL 34208-1640 | 2006-02-27 |
| 1750822565 | Faragalla Foot Care LLC | Podiatrist | 2105 Manatee Ave E, Bradenton, FL 34208-1640 | 2017-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880566 | Michael Gerard Kulikowski | Pharmacist | 6225 E Sr 64, Bradenton, FL 34208 | 2020-10-30 |
| 1104431964 | Genesis Carrillo | Pharmacist | 4210 E, Fl-64, Bradenton, FL 34208 | 2020-09-09 |
| 1962960146 | Elite Surgery Center, LLC | Plastic Surgery | 5301 4th Ave Circle E, Bradenton, FL 34208 | 2019-03-07 |
| 1740777101 | Chinelo Uche | Student in an Organized Health Care Education/Training Program | 206 2nd St. E, Brandenton, FL 34208 | 2018-04-20 |
| 1396240040 | Nicholas Guy Ross | Student in an Organized Health Care Education/Training Program | 206 2nd St E., Bradenton, FL 34208 | 2018-03-26 |
| 1881196566 | Pinnacle Dental, Inc | Dentist | 5220 4th Ave. Circle E., Bradenton, FL 34208 | 2018-03-08 |
| 1194240176 | Bradenton Community Acupuncture | Acupuncturist | 5245 Office Park Blvd Suite 103, Bradenton, FL 34208 | 2017-08-10 |
| 1316490147 | Loretta Michele Deloach | Counselor | 515 27th St. S., Ste. 3, Bradenton, FL 34208 | 2016-07-28 |
| 1730548934 | Elodie Chimuanya Epane Kamdem | Dentist | Bright Now Dentalst, 650, 3611 1st Street, Suiyr, Bradenton, FL 34208 | 2016-02-16 |
| 1215303920 | Lesley Ann White | Driver | 45 Palmwood, Bradenton, FL 34208 | 2015-08-17 |
| Find all providers in zip 34208 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225423247 | Rene Christine Rickert | Pain Medicine | 2001 Manatee Ave E Ste 103, Bradenton, FL 34208-1620 | 2015-04-06 |
| 1073932570 | James D Shortt Md Pa | Pain Medicine | 528 48th Street Ct E, Bradenton, FL 34208-5508 | 2014-04-11 |
| 1316154958 | Vigafra Pllc | Pain Medicine | 2105 Manatee Avenue East, Bradenton, FL 34208-1620 | 2007-05-16 |
| 1811253610 | Justin Sirianni | Pain Medicine | 6015 Pointe West Blvd, Bradenton, FL 34209-5525 | 2012-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659979706 | Specialty Physician Services. LLC | Pain Medicine | 9150 Sw 87th Ave Ste 200, Miami, FL 33176-2313 | 2020-10-12 |
| 1700403847 | Advanced Interventional Pain Center Fl | Pain Medicine | 1831 N Belcher Rd Ste E1, Clearwater, FL 33765-1442 | 2020-07-05 |
| 1770108110 | The Neomedicine Institute LLC | Pain Medicine | 2510 Nw 97th Ave Ste 110, Doral, FL 33172-1407 | 2020-06-11 |
| 1316583362 | Lisa M Gonzalez | Pain Medicine | 8136 Centralia Ct Ste 103, Leesburg, FL 34788-3757 | 2019-11-25 |
| 1306488820 | Alberto Rivera-sanchez Pa | Pain Medicine | 201 W Canton Ave Ste 275, Winter Park, FL 32789-3148 | 2019-10-16 |
| 1912560798 | Jacksonville Spine Center Pa | Pain Medicine | 2349 Village Square Pkwy Ste 107, Fleming Island, FL 32003-4319 | 2019-04-17 |
| 1942765144 | Nixpain LLC | Pain Medicine | 2750 Ne 14th St, Fort Lauderdale, FL 33304-1611 | 2019-02-01 |
| 1346737749 | Ceda Orthopedics Group, LLC. | Pain Medicine | 815 Nw 57th Avenue, Ste. 202, Miami, FL 33126 | 2018-04-20 |
| 1174025001 | Lighthouse Point Surgery Center LLC | Pain Medicine | 1821 Ne 25th St Ste 100, Lighthouse Point, FL 33064-7744 | 2018-03-07 |
| 1801394440 | Neuspine Therapy LLC | Pain Medicine | 12880 Us 301, Dade City, FL 33525-5801 | 2018-01-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.