Healthcare Provider Details
I. General information
NPI: 1497805618
Provider Name (Legal Business Name): ROCAS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/11/2007
Last Update Date: 09/20/2023
Certification Date: 09/20/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1265 ANTHONY DR.
ANTHONY NM
88021
US
IV. Provider business mailing address
PO BOX 4530
ANTHONY TX
79821-0047
US
V. Phone/Fax
- Phone: 575-882-2956
- Fax: 575-882-1863
- Phone: 575-882-2956
- Fax: 575-882-1863
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HECTOR
IGNACIO
OCARANZA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 575-882-2956