Villacob-Roca, Raul Jose

Villacob-Roca, Raul Jose is an individual health care provider with primary practice located at 160 Nw 170Th St , North Miami Beach FL 33169-5521. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Villacob-Roca, Raul Jose can be contacted via phone (305) 651-1100.

Contact Information

Primary practice address
160 Nw 170Th St North Miami Beach FL 33169-5521
Phone: (305) 651-1100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 265099 New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME100523 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME 100523 Florida

Profile Details

NPI number 1427221852
LBN Legal business name Villacob-Roca, Raul Jose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2008
Last updated Aug 30th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427221852 NPPES
New York MEDICAID 03528365

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