Healthcare Provider Details
I. General information
NPI: 1346922150
Provider Name (Legal Business Name): ROQUE HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/01/2023
Last Update Date: 08/01/2023
Certification Date: 08/01/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5908 N 23RD LN
MCALLEN TX
78504-4334
US
IV. Provider business mailing address
5908 N 23RD LN
MCALLEN TX
78504-4334
US
V. Phone/Fax
- Phone: 956-685-2429
- Fax:
- Phone: 956-685-2429
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
RICARDO
FIGUEROA
JR.
Title or Position: MANAGER
Credential:
Phone: 956-685-2429