Roque, Jose Ramon

Roque, Jose Ramon is an sole proprietor health care provider with primary practice located at 1111 22Nd St , North Bergen NJ 07047-2003. He recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as his primary health care specialty. Roque, Jose Ramon can be contacted via phone (201) 866-8121.

Contact Information

Primary practice address
1111 22Nd St North Bergen NJ 07047-2003
Fax: (201) 866-8004
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 3002 New Jersey

Profile Details

NPI number 1134254162
LBN Legal business name Roque, Jose Ramon
Credentials MD, BCNS, CNC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1134254162 NPPES
New Jersey Other 1045653 NJ HEALTH

Popular Providers