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NPI Code Detail

MEDICARE: ROQUE H FERREYRO MD

MEDICARE:   ROQUE H FERREYRO  MD
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
12085B0100XBody Imaging Physician200208LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1032535OTHERLACDS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3200208OTHERLAMEDICAL LICENSE

General Provider Information

NPI Number : 1124044243
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROQUE H FERREYRO MD
Provider Business Mailing Address
First Line : 180 W ESPLANADE AVE
Second Line :
City : KENNER
State : LA
Zip : 70065-2467
Country : US
Telephone Number : 504-712-8836
Fax Number :
Provider Business Practice Location Address
First Line : 1340 POYDRAS ST
Second Line : SUITE 1640
City : NEW ORLEANS
State : LA
Zip : 70112-1221
Country : US
Telephone Number : 504-412-1860
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 07/08/2007

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Directions to “ ROQUE H FERREYRO MD” Practice Location

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