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Individual

DR. BERNARDO ROQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D, HCT

Contact information

Practice address
CARR. 198 KM 22.0, BO. MONTONES I, LAS PIEDRAS, PR 00791-0198
(787) 716-0050
Mailing address
URB. ALTURAS DE SAN BENITO, CALLE REINA DE LA PAZ 11, HUMACAO, PR 00791-9202
(787) 645-2587

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3156
PR
103TC1900X
Counseling Psychologist
3156
PR
104100000X
Social Worker
8072
PR

Other

Enumeration date
08/05/2008
Last updated
11/05/2024
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