Healthcare Provider Details

I. General information

NPI: 1831585439
Provider Name (Legal Business Name): ROCIO A ELEID M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2015
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11463 S FOOTHILLS BLVD
YUMA AZ
85367-5701
US

IV. Provider business mailing address

11463 S FOOTHILLS BLVD
YUMA AZ
85367-5701
US

V. Phone/Fax

Practice location:
  • Phone: 928-955-0189
  • Fax:
Mailing address:
  • Phone: 928-955-0189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number59085
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: