Provider Demographics
NPI:1063732857
Name:ROCK SANCHEZ INC.
Entity type:Organization
Organization Name:ROCK SANCHEZ INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROCK
Authorized Official - Middle Name:TOMAS
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-941-6853
Mailing Address - Street 1:7353 ELLENA W
Mailing Address - Street 2:163
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-8356
Mailing Address - Country:US
Mailing Address - Phone:909-941-6853
Mailing Address - Fax:
Practice Address - Street 1:7353 ELLENA W
Practice Address - Street 2:163
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-8356
Practice Address - Country:US
Practice Address - Phone:909-941-6853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-03
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies