| Alejandro Rocha Jr. D.o., P.a. | |
|
10500 Vista Del Sol Dr Ste C El Paso TX 79925-7925 | |
| (915) 444-8571 | |
| (915) 444-8573 |
| Full Name | Alejandro Rocha Jr. D.o., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 10500 Vista Del Sol Dr Ste C, El Paso, Texas |
| Authorized Official Name and Position | Alejandro Rocha (PHYSICIAN) |
| Authorized Official Contact | 4076074625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alejandro Rocha Jr. D.o., P.a. 5746 Trowbridge Dr El Paso TX 79925-3341 Ph: (915) 219-4300 | Alejandro Rocha Jr. D.o., P.a. 10500 Vista Del Sol Dr Ste C El Paso TX 79925-7925 Ph: (915) 444-8571 |
| NPI Number | 1477880284 |
|---|---|
| Provider Enumeration Date | 11/16/2009 |
| Last Update Date | 11/15/2022 |
| Medicare PECOS PAC ID | 6507901675 |
|---|---|
| Medicare Enrollment ID | O20100302000105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477880284 | NPI | - | NPPES |
| 0032TD | Other | TX | BLUECROSS BLUESHIELD OF TEXAS |
| 210952202 | Other | TX | THEALTHSTEPS |
| 210952201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L1188 (Texas) | Primary |
| Provider Name | Editha A Claros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679517403 PECOS PAC ID: 6901817741 Enrollment ID: I20060509000197 |
| Provider Name | Alejandro Rocha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528028099 PECOS PAC ID: 4880739952 Enrollment ID: I20100302000099 |
| Provider Name | Robert M Kopczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023542404 PECOS PAC ID: 6709153356 Enrollment ID: I20170601002398 |
| Provider Name | Maday C Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679076780 PECOS PAC ID: 8123364825 Enrollment ID: I20190117001670 |
| Provider Name | Camille Aguilera Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427615210 PECOS PAC ID: 5294156782 Enrollment ID: I20200610000013 |
| Provider Name | Veronica L Bahner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437934767 PECOS PAC ID: 2860845641 Enrollment ID: I20240129000995 |
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