Provider Demographics
NPI:1891909438
Name:AROCHO, ROBERTO (ETC)
Entity Type:Individual
Prefix:MR
First Name:ROBERTO
Middle Name:
Last Name:AROCHO
Suffix:
Gender:M
Credentials:ETC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 8 BOX 44483
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603-9160
Mailing Address - Country:US
Mailing Address - Phone:787-882-8220
Mailing Address - Fax:
Practice Address - Street 1:HC 8 BOX 44483
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-9160
Practice Address - Country:US
Practice Address - Phone:787-882-8220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1338103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR660519084OtherPSICOLOGO