Individual
ROQUE ANTONIO NIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
LAUREL PLZ, BAYAMON, PR 00956-3273
(787) 798-3001
Mailing address
4 AV. SAN PATRICIO, COND. EL GENERALIFE, APT. 1604, GUAYNABO, PR 00968
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
6762068
PR
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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