Provider Demographics
NPI:1164765442
Name:ROCHA, DAVID LEE
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:LEE
Last Name:ROCHA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 411
Mailing Address - Street 2:
Mailing Address - City:SEBASTIAN
Mailing Address - State:TX
Mailing Address - Zip Code:78594-0411
Mailing Address - Country:US
Mailing Address - Phone:956-341-4755
Mailing Address - Fax:
Practice Address - Street 1:378 SOUTH BUSINESS 77
Practice Address - Street 2:
Practice Address - City:SEBASTIAN
Practice Address - State:TX
Practice Address - Zip Code:78594-0411
Practice Address - Country:US
Practice Address - Phone:956-341-4755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-04
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZB0301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherBiomedical Engineering
No2472B0301XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherBiomedical Engineering