Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 020699 | CT |
N | 111NI0900X | Internist | 020699 | CT |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 020699 | CT |
NPI | 1023085065 |
---|---|
Provider Name | Dr. Juan Fica |
First Address | Waterbury, CT 06708-3104 |
Second Address | Waterbury, CT 06708-3104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00120699401 | BLUE CARE FAMILY PLAN (01) | CT |
010020699CT01 | ANTHEM BC/BS (01) | CT |
0469525004 | CIGNA (01) | CT |
0V9580 | HEALTHNET (01) | CT |
129427 | WELLCARE/MEDICARE (01) | CT |
20699 | CT HEALTH PLAN (01) | CT |
2551043 | AETNA (01) | CT |
29427 | GROUP HEALTH INC. (01) | CT |
719283 | CONNECTICARE (01) | CT |
C64866 | (02) | CT |