Organization
VIVO CLINIC CORP
Active
Other names
VIVO CLINIC CORP
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE M ROQUE DC (PRESIDENT)
(787) 960-3160
Entity
Organization
Contact information
Practice address
D-2 AVE SAN DEMETRIO, VEGA BAJA, PR 00693-5136
(787) 960-3160
Mailing address
PO BOX 2232, VEGA BAJA, PR 00694-2232
(787) 960-3160
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/23/2024
Last updated
03/18/2026
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