Individual
GABRIEL ARCADIO ROCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5801 EXECUTIVE CENTER DR, CHARLOTTE, NC 28212-8861
(704) 863-1550
Mailing address
10820 BOYKIN PL APT 110, MATTHEWS, NC 28105-8991
(910) 261-7336
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-04610
NC
363A00000X
Physician Assistant
PA21284
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1090884
NCCPA IDENTIFICATION NUMBER
—
05
—
1366711293
—
NC
05
—
1866PA
—
SC
Enumeration date
12/21/2011
Last updated
01/24/2025
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