Provider Demographics
NPI:1194806885
Name:UY, LEO ROCERO (MD)
Entity type:Individual
Prefix:
First Name:LEO
Middle Name:ROCERO
Last Name:UY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:789 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-2526
Mailing Address - Country:US
Mailing Address - Phone:603-740-2503
Mailing Address - Fax:603-740-2497
Practice Address - Street 1:789 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-2526
Practice Address - Country:US
Practice Address - Phone:603-740-2503
Practice Address - Fax:603-740-2497
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH12282208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH386569OtherMVP HEALTHCARE
NH6328959OtherCIGNA
NH30204450Medicaid
NH7713608OtherAETNA
NH2280822OtherMAIL HANDLERS/FIRST HEALT
ME414230099Medicaid
NH5571965OtherCCN
NH7187710OtherCIGNA NATIONAL
NHAA16417OtherHARVARD PILGRIM
NHP00197710OtherRAILROAD MEDICARE
NH30204450Medicaid
NH6328959OtherCIGNA