Organization
GUILLERMO I ROCHA, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUILLERMO ISMAEL ROCHA MD (OWNER)
(210) 922-5922
Entity
Organization
Contact information
Practice address
3727 ROOSEVELT AVE, SAN ANTONIO, TX 78214-2934
(210) 922-5922
(210) 924-5600
Mailing address
3727 ROOSEVELT AVE, SAN ANTONIO, TX 78214-2934
(210) 922-5922
(210) 924-5600
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
G6382
TX
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120476004
—
TX
Enumeration date
02/20/2007
Last updated
10/01/2020
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