NPI 1063119295

Richard Ivan Roque, MSW

Practitioner Clinical Social Worker Utuado, PR

Practice location

Address: Isaac Gonzalez Esquina Ledesma Cll, Utuado, PR 00641-0001
Phone: (787) 356-2056
Mailing address: Hc 4 Box 48004, Hatillo, PR 00659-8457

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 16088 (PR)

Other Social Worker providers in Puerto Rico →

Registry record

NPI: 1063119295
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Feb 2023
Record last updated: 8 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.