Individual
DR. ELISEO ROQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
PARANA CORNER CARITE 125, SAN JUAN, PR 00926-6023
(787) 764-3562
(787) 753-0996
Mailing address
138 WINSTON CHURCHILL AVE., MSC 853, SAN JUAN, PR 00926-6023
(787) 764-3562
(787) 753-0996
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4783
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3882
BLUE CROSS
PR
01
—
906044
TRIPLES
PR
Enumeration date
03/14/2007
Last updated
07/08/2007
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