Ron V. Roque, M.d., Inc. | |
1760 Termino Ave Suite 104 Long Beach CA 90804-2169 | |
(562) 494-8512 | |
(562) 494-8530 |
Full Name | Ron V. Roque, M.d., Inc. |
---|---|
Speciality | Internal Medicine |
Location | 1760 Termino Ave, Long Beach, California |
Authorized Official Name and Position | Ranaldo V Roque (OWNER) |
Authorized Official Contact | 5624948512 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ron V. Roque, M.d., Inc. 1760 Termino Ave Suite 104 Long Beach CA 90804-2169 Ph: (562) 494-8512 | Ron V. Roque, M.d., Inc. 1760 Termino Ave Suite 104 Long Beach CA 90804-2169 Ph: (562) 494-8512 |
NPI Number | 1558385914 |
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Provider Enumeration Date | 07/27/2006 |
Last Update Date | 06/22/2020 |
Medicare PECOS PAC ID | 0547341646 |
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Medicare Enrollment ID | O20080115000372 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558385914 | NPI | - | NPPES |
00A748230 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A74823 (California) | Primary |
Provider Name | Ronaldo V Roque |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932397189 PECOS PAC ID: 8729998257 Enrollment ID: I20080115000326 |
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