# JAVIER ROCHA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** San Miguel Medical Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528034113
- **Authorized official:** MR. JAVIER ROCHA PT (OWNER)
- **Authorized official phone:** (956) 994-3904

## Contact information

- **Practice address:** 5407 N MCCOLL RD, SUITE A-2, MCALLEN, TX 78504-2250
- **Practice address phone:** (956) 994-3904
- **Practice address fax:** (956) 994-3951
- **Mailing address:** 5407 N MCCOLL RD, SUITE A-2, MCALLEN, TX 78504-2250
- **Mailing address phone:** (956) 994-3904
- **Mailing address fax:** (956) 994-3951

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0077185 | TX | Yes |

## Other

- **Enumeration date:** 02/24/2006
- **Last updated:** 06/30/2009