Individual
MR. JORGE ROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
CALLE MUNOZ RIVERA #17, NAGUABO, PR 00718-4646
(787) 874-3122
Mailing address
PENA POBRE PARCELAS, HC-01 BOX 4646, NAGUABO, PR 00718-4646
(787) 874-1460
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
4355
PR
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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