MEDICARE: DR. RENE ROCHA RODRIGUEZ M.D.

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
1	207RG0100X	Gastroenterology Physician	015873	PR
2	207RG0100X	Gastroenterology Physician	15873	PR

General Provider Information

NPI Number	:	1235236670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RENE ROCHA RODRIGUEZ M.D.

Provider Business Mailing Address
First Line	:	2 VILLA MENA
Second Line	:
City	:	ARECIBO
State	:	PR
Zip	:	00612-6647
Country	:	US
Telephone Number	:	787-312-4640
Fax Number	:	787-779-6821

Provider Business Practice Location Address
First Line	:	AVE.SAN LUIS, CARR.129 HOSP. DR. CAYETANO COLL Y TOSTE
Second Line	:	OFFICE 104
City	:	ARECIBO
State	:	PR
Zip	:	00612-0000
Country	:	US
Telephone Number	:	787-312-4640
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	07/28/2010

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Directions to “ DR. RENE ROCHA RODRIGUEZ M.D.” Practice Location

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