Individual
JOSE RAMON ROCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2154 DUCK SLOUGH BLVD, STE 102, TRINITY, FL 34655-5073
(727) 939-1737
Mailing address
2154 DUCK SLOUGH BLVD, STE 102, TRINITY, FL 34655-5073
(727) 939-1737
(727) 937-3018
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME0053991
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME0053991
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01791400
ST OF NY- EMPIRE
—
05
—
048681700
—
FL
01
—
07339
B/C B/S
FL
01
—
110024795
RAILROAD MEDICARE
—
01
—
174747
HEALTH CARE AND WELL CARE
—
01
—
214772
AV MED- HMO
—
01
—
3944143
CIGNA
—
01
—
4245063
AETNA
—
01
—
593044844
HUMANA- TRICARE
—
Enumeration date
09/15/2005
Last updated
05/17/2016
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