MEDICARE: ROCA HEALTH SERVICES 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	208600000X	Surgery Physician	ME102849	FL

General Provider Information

NPI Number	:	1538310966
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROCA HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	450 NW 123RD ST
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33168-3545
Country	:	US
Telephone Number	:	305-769-0779
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 NW 123RD ST
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33168-3545
Country	:	US
Telephone Number	:	305-769-0779
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CARLOS ALEJO
Credential	:	M.D.
Telephone Number	:	305-205-0921

Provider Enumeration Date	:	10/03/2008
Last Update Date	:	10/29/2008

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Directions to “ROCA HEALTH SERVICES INC ” Practice Location

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