Individual
DR. RAUL JOSE VILLACOB-ROCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
160 NW 170TH ST, NORTH MIAMI BEACH, FL 33169-5521
(305) 651-1100
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME100523
FL
207R00000X
Internal Medicine Physician
265099
NY
207R00000X
Internal Medicine Physician
ME 100523
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03528365
—
NY
Enumeration date
04/07/2008
Last updated
08/30/2018
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