Individual
JORGE MANUEL ROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
URB SAN DEMETRIO, AVE SAN DEMETRIO D-2, VEGA BAJA, PR 00693
(787) 246-0901
Mailing address
URB SAN DEMETRIO, AVE SAN DEMETRIO D-2, VEGA BAJA, PR 00693
(787) 246-0901
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000760
PR
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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