Individual
LUIS ROCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
32331 SW 204TH CT, HOMESTEAD, FL 33030-2639
(786) 201-0346
Mailing address
32331 SW 204TH CT, HOMESTEAD, FL 33030-2639
(786) 201-0346
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
PEND
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UNKN
N/A
FL
Enumeration date
06/08/2019
Last updated
06/08/2019
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