MEDICARE: MIGUEL ROCA INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DEN03123	RI

General Provider Information

NPI Number	:	1518303577
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIGUEL ROCA INC

Provider Business Mailing Address
First Line	:	700 SCHOOL ST
Second Line	:
City	:	PAWTUCKET
State	:	RI
Zip	:	02860-5747
Country	:	US
Telephone Number	:	401-475-9909
Fax Number	:	267-899-8909

Provider Business Practice Location Address
First Line	:	700 SCHOOL ST
Second Line	:
City	:	PAWTUCKET
State	:	RI
Zip	:	02860-5747
Country	:	US
Telephone Number	:	401-475-9909
Fax Number	:	267-899-8909

Authorized Official
Title or Position	:	DENTIST / OWNER
Name	:	DR. MIGUEL ARIEL ROCA
Credential	:	D.M.D
Telephone Number	:	401-475-9909

Provider Enumeration Date	:	05/17/2013
Last Update Date	:	01/21/2026

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