Individual
RICHARD IVAN ROQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
ISAAC GONZALEZ ESQUINA LEDESMA CLL, UTUADO, PR 00641-0001
(787) 356-2056
Mailing address
HC 4 BOX 48004, HATILLO, PR 00659-8457
(787) 356-2056
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16088
PR
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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