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NPI Code Detail

MEDICARE: PABLO ROCHA

MEDICARE: PABLO ROCHA
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
1103T00000XPsychologist271363NM

General Provider Information

NPI Number : 1699968586
Entity Type Code : Individual
Provider Name (Legal Business Name) : PABLO ROCHA
Provider Business Mailing Address
First Line : 505 S MAIN ST STE 249
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-1243
Country : US
Telephone Number : 575-527-6093
Fax Number : 575-527-5886
Provider Business Practice Location Address
First Line : 505 S MAIN ST STE 249
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-1243
Country : US
Telephone Number : 575-527-6093
Fax Number : 575-527-5886
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2007
Last Update Date : 03/09/2026

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Directions to “ PABLO ROCHA ” Practice Location

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