Organization Active NPI

Jose R Roca MD PA

  • Cardiovascular Disease Physician
  • Tarpon Springs, FL
National Provider Identifier
1962711804
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME53991 Issued in FL
Legal business name
JOSE R ROCA MD PA
Practice address
1501 Alt 19 S
Suite G
Tarpon Springs, FL 34689-1955
Phone
(727) 939-1737
Fax
(727) 937-3018
NPI assigned
Sep 27, 2010
Last updated
Sep 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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

Authorized official

Name
Jose R Roca, MDNPI 1184619157
Title
Owner
Phone
(727) 939-1737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME53991 FL Primary

Addresses

Primary practice location

1501 Alt 19 S
Suite G
Tarpon Springs, FL 34689-1955

Mailing address

1501 Alt 19 S
Suite G
Tarpon Springs, FL 34689-1955
Phone (727) 939-1737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110415000573 FL Part B Supplier - Clinic/Group Practice 3779767751 Receives reassigned benefits from 1 practitioner
Practice locations: Tarpon Springs, FL

National Provider Directory

National Provider Directory

Locations

42674 US Highway 19 N
Tarpon Springs, FL 34689
Phone (727) 934-7877

638 E Tarpon Ave
Tarpon Springs, FL 34689
Phone (727) 938-0050

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1962711804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 ALT 19 S",
            "address_2": "SUITE G",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346891955",
            "telephone_number": "727-939-1737",
            "fax_number": "727-937-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 ALT 19 S",
            "address_2": "SUITE G",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346891955",
            "telephone_number": "727-939-1737",
            "fax_number": "727-937-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE R ROCA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "ROCA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-939-1737",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME53991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.