Healthcare Provider Details

I. General information

NPI: 1730225624
Provider Name (Legal Business Name): DR. ROCHELLE AQUINO BENIQUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

COND PARQUE DE LAS FUENTE APT 1203
SAN JUAN PR
00918
US

IV. Provider business mailing address

COND PARQUE DE LA FUENTE APT 1203
SAN JUAN PR
00918
US

V. Phone/Fax

Practice location:
  • Phone: 787-598-6237
  • Fax:
Mailing address:
  • Phone: 787-598-6237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number2717
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2717
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number2717
License Number StatePR
# 4
Primary TaxonomyN
Taxonomy Code103TE1100X
TaxonomyExercise & Sports Psychologist
License Number2717
License Number StatePR
# 5
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number2717
License Number StatePR
# 6
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number2717
License Number StatePR
# 7
Primary TaxonomyN
Taxonomy Code103TP0814X
TaxonomyPsychoanalysis Psychologist
License Number2717
License Number StatePR
# 8
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number2717
License Number StatePR
# 9
Primary TaxonomyY
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number2717
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: