Individual
MS. CYNTHIA CECILIA ROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
048900
CT
208D00000X
General Practice Physician
Primary
ME134151
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236346
—
CT
05
—
023853200
—
FL
Enumeration date
12/19/2007
Last updated
02/23/2026
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