Provider Demographics
NPI:1467434514
Name:DARROCA, ROBERTO JOSEPH ANTHONY (MD)
Entity Type:Individual
Prefix:
First Name:ROBERTO
Middle Name:JOSEPH ANTHONY
Last Name:DARROCA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2407 W PINEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47303-9384
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4008 W BETHEL AVE
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47304-5442
Practice Address - Country:US
Practice Address - Phone:765-298-4750
Practice Address - Fax:765-286-0185
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01035315207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100107190AMedicaid
IN000000817411OtherANTHEM
INP01679326OtherRR MEDICARE
IN100107190AMedicaid
IN266180175Medicare PIN