Organization
SERVICIOS PSICOLOGICOS RENUEVATE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARDO ROQUE (PSY.D.)
(787) 645-2587
Entity
Organization
Contact information
Practice address
CARR. 198 KM 22.0, BO. MONTONES I, LAS PIEDRAS, PR 00771-0198
(787) 716-0050
Mailing address
URB. ALTURAS DE SAN BENITO, CALLE REINA DE LA PAZ 11, HUMACAO, PR 00791-9202
(787) 645-2587
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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