Individual
DR. BERNARDO ROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D, HCT
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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