Healthcare Provider Details
I. General information
NPI: 1932445525
Provider Name (Legal Business Name): RICARDO FRANCISCO ROCA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 12/31/2012
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10513 MARBACH RD STE 102
SAN ANTONIO TX
78245-1995
US
IV. Provider business mailing address
14539 CAMPERDOWN
SAN ANTONIO TX
78245-3924
US
V. Phone/Fax
- Phone: 210-290-8081
- Fax:
- Phone: 914-563-7342
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363AS0400X |
| Taxonomy | Surgical Physician Assistant |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | 018824 |
| License Number State | PR |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 246ZC0007X |
| Taxonomy | Surgical Assistant |
| License Number | 12271 |
| License Number State | TX |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | U7751 |
| License Number State | TX |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 246ZC0007X |
| Taxonomy | Surgical Assistant |
| License Number | SA00558 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: