Roca Medical Center

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

K9162 Issued in TX

Legal business name

ROCA MEDICAL CENTER

Practice address

10393 League Line Rd
Conroe, TX 77304-1028

Phone

(915) 373-3766

NPI assigned

Apr 12, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ruben R Roncallo, MD

Title

President

Phone

(915) 373-3766

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1063876340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126102",
            "telephone_number": "915-373-3766",
            "fax_number": "915-532-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10393 LEAGUE LINE RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041028",
            "telephone_number": "915-373-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "RONCALLO",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-373-3766",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K9162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent Justin Robertson, MD
• Radley B Robins, DDS
• Angela Robinson, LPC-ASSOCIATE
• Laura Kay Robinson
• Heather L Robison, LPC
• Rodgers Stein Chiropractic, P.a.
• Chriselda Luna Rodgers, B.S. QMHP
• Stacey L Rodgers, DC
• Monica Daniela Rodriguez Pease
• Diana Rodriguez, COTA

• Pediatrics Physician in Conroe, TX
• Providers in Conroe, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.