Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 003443 | NY |
N | 208200000X | Surgeon | 003443 | NY |
N | 208600000X | Surgeon | 003443 | NY |
NPI | 1588820435 |
---|---|
Provider Name | Dr. Juan Pablo Rocca |
First Address | Bronx, NY 10467-2401 |
Second Address | Bronx, NY 10467-2401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2008 |
Last Update Date | 05/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03161039 | (05) | NY |