Individual
DR. JUAN CARLOS DIAZ ROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
855 S MINT ST, CHARLOTTE, NC 28202-1517
(704) 627-6086
(678) 785-3207
Mailing address
855 S MINT ST, CHARLOTTE, NC 28202-1517
(704) 627-6086
(678) 785-3207
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
0101252412
VA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
2019-02431
NC
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
R3312
TX
Other
Enumeration date
06/23/2011
Last updated
05/13/2025
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