Provider Demographics
NPI:1275955973
Name:AROCHO, ROANCY
Entity Type:Individual
Prefix:DR
First Name:ROANCY
Middle Name:
Last Name:AROCHO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB LA MONSERRATE #322 CALLE CONCEPCION
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00676
Mailing Address - Country:UM
Mailing Address - Phone:787-517-0979
Mailing Address - Fax:
Practice Address - Street 1:CARR #2 KM 118.9
Practice Address - Street 2:EDIFICIO PROFESSIONAL PLAZA
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-4483
Practice Address - Country:US
Practice Address - Phone:787-882-8220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-15
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5384103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical