Provider Demographics
NPI:1740411552
Name:R. TROCHE NEPHROLOGY
Entity Type:Organization
Organization Name:R. TROCHE NEPHROLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RODOLFO
Authorized Official - Middle Name:
Authorized Official - Last Name:TROCHE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-531-1159
Mailing Address - Street 1:100 GRAND PASEO BLVD
Mailing Address - Street 2:PMB 331
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5905
Mailing Address - Country:US
Mailing Address - Phone:787-531-1159
Mailing Address - Fax:
Practice Address - Street 1:U3-3 CARR 21
Practice Address - Street 2:CENTRO MEDICO LAS LOMAS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3313
Practice Address - Country:US
Practice Address - Phone:787-461-3929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-29
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14688207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty