Provider Demographics
NPI:1932445525
Name:ROCA, RICARDO FRANCISCO (MD)
Entity Type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:FRANCISCO
Last Name:ROCA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:RICARDO
Other - Middle Name:FRANCISCO
Other - Last Name:ROCA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:14539 CAMPERDOWN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-3924
Mailing Address - Country:US
Mailing Address - Phone:914-563-7342
Mailing Address - Fax:
Practice Address - Street 1:14539 CAMPERDOWN
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78245-3924
Practice Address - Country:US
Practice Address - Phone:914-563-7342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-31
Last Update Date:2024-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR018824208D00000X
TX12271246ZC0007X
TXSA00558246ZC0007X
363AS0400X
TXU7751208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical