Provider Demographics
NPI:1205026648
Name:ROCA MARTINEZ, MARIA JULIANA (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:JULIANA
Last Name:ROCA MARTINEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1856 THOMPSON BRIDGE RD STE 5
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-1663
Mailing Address - Country:US
Mailing Address - Phone:770-539-3374
Mailing Address - Fax:
Practice Address - Street 1:3215 MCCLURE BRIDGE RD
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-3223
Practice Address - Country:US
Practice Address - Phone:678-312-6000
Practice Address - Fax:678-312-6015
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-01
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA059750207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA2815522OtherUHC
GA406605OtherWELLCARE
GA792207484AMedicaid
GA9064068OtherAETNA
GA10077959OtherAMERIGROUP
GA52206174OtherBCBS
GA6488815OtherCIGNA
GA792207484AOtherPEACH STATE
GA9064068OtherAETNA