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General NPI Number Information
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NPI Number | 1326664442
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Entity Type | Individual
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Provider Name | ANTONIO JOSE SANTOS ROCA
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Gender | Male
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Dates
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Enumeration Date | 06/24/2020
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 601 ELMWOOD AVE
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City | ROCHESTER
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State | NY
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Zip | 14642-0001
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Country | US
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Telephone | 585-275-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 1 S CLINTON AVE APT 1905
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City | ROCHESTER
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State | NY
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Zip | 14604-1743
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Country | US
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Telephone | 787-366-3700
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 334319
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME162293
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 33561
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | RS2023-1253
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License Number State | NM
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