ROMEO GONZAGA ICASIANO MD
NPI 1114928066
Pediatrics in Montrose, CO

Active since August 02, 2005
947 SO 5TH ST, MONTROSE, CO 81401(870) 249-2421(970) 249-8897 Get Directions Write a Review

NPPES record last updated: April 10, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Romeo Gonzaga Icasiano Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROMEO GONZAGA ICASIANO MD (NPI 1114928066) is an individual pediatrics provider in Montrose, Colorado, licensed in Colorado (37326) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1114928066
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameROMEO GONZAGA ICASIANOCredential: MD
Location Address947 SO 5TH STMontrose, CO 81401-5716
Mailing Address947 So 5th StMontrose, CO 81401-5716 · (870) 249-2421 · Fax (970) 249-8897
Fax(970) 249-8897
Sole ProprietorNo
Enumeration DateAugust 2, 2005
Last NPPES UpdateApril 10, 2012
NPI 1114928066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in CO · 37326
Definition
A pediatrician 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.
947 SO 5TH ST, Montrose, CO 81401

Other Identifiers 2

Medicare ID-Type UnspecifiedB16034792CO
Medicaid01373265CO

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
947 SO 5TH ST
MONTROSE, CO 81401
Pediatrics
947 SO 5TH ST
MONTROSE, CO 81401
Pediatrics
947 SO 5TH ST
MONTROSE, CO 81401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Romeo Icasiano's NPI number?

The NPI number for Romeo Icasiano is 1114928066. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Romeo Icasiano located?

Romeo Icasiano practices at 947 So 5th St, Montrose, CO 81401. The listed phone number is (870) 249-2421.

What is Romeo Icasiano's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Romeo Icasiano was last updated on April 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.