Roberto S Mauricio, MD Valid NPI

Individual provider · Family Medicine Physician · Celina, TN

NPI

1184711673

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

MD0000007826 (TN)

Sex

Male

Sole proprietor

No

Enumerated

2006-10-06

Last updated

2007-07-08