Ivan D Vicario
Medical Specialty
Professional ID
- NPI: 1427481902
- PECOS ID: 3476788282
- Enrollment ID: I20131104000795
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2013
Medical Practices
- Organization Name: Gaspar Physical Therapy A Professional Corporation
- Group Practice ID assigned by PECOS: 0648165761
- Number of Group Practice member: 30
Location
- Address1: 6102 Avenida Encinas
- Address2: Suite E
- City: Carlsbad
- State: California
- Zip Code: 92011
- Phone Number: (760)634-9750
Location
- Address1: 6221 Metropolitan St
- Address2: Suite 101
- City: Carlsbad
- State: California
- Zip Code: 92009
- Phone Number: (760)707-5080
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):