Healthcare Provider Details

I. General information

NPI: 1417412651
Provider Name (Legal Business Name): STEVEN J ROMAN TROCHE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2019
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AREA CENTRO MEDICO DE BARRIO MONACILLOS
SAN JUAN PR
00935-0001
US

IV. Provider business mailing address

PO BOX 1367
SAN SEBASTIAN PR
00685-1367
US

V. Phone/Fax

Practice location:
  • Phone: 787-763-4149
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number23231
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: