Healthcare Provider Details

I. General information

NPI: 1043147333
Provider Name (Legal Business Name): ROMAN TROCHE NEUROLOGY & HEADACHE CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CENTRO INTERNACIONAL DE MERCADEO TORRE 1 SUITE 311
GUAYNABO PR
00965
US

IV. Provider business mailing address

PO BOX 1367
SAN SEBASTIAN PR
00685-1367
US

V. Phone/Fax

Practice location:
  • Phone: 787-224-9188
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: STEVEN J ROMAN TROCHE
Title or Position: PRESIDENT
Credential: MD
Phone: 939-644-2396