Provider Demographics
NPI:1407053622
Name:SANTIAGO-TROCHE, ROCHELI CRISTI (PHD)
Entity Type:Individual
Prefix:
First Name:ROCHELI
Middle Name:CRISTI
Last Name:SANTIAGO-TROCHE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 CALLE NAPOLES APT 5B
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-4074
Mailing Address - Country:US
Mailing Address - Phone:787-632-3990
Mailing Address - Fax:
Practice Address - Street 1:AVE. MENDEZ VIGO #332
Practice Address - Street 2:
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646
Practice Address - Country:US
Practice Address - Phone:787-632-3990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2814103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical