| Roque Medical Llc | |
|
569 Cedar Ln Teaneck NJ 07666-1712 | |
| (347) 524-1914 | |
| (888) 929-2371 |
| Full Name | Roque Medical Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 569 Cedar Ln, Teaneck, New Jersey |
| Authorized Official Name and Position | Marcelo Venegas-pizarro (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3475241914 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roque Medical Llc 659 Glenwood Ave Teaneck NJ 07666-6532 Ph: (347) 524-1914 | Roque Medical Llc 569 Cedar Ln Teaneck NJ 07666-1712 Ph: (347) 524-1914 |
| NPI Number | 1770173650 |
|---|---|
| Provider Enumeration Date | 01/25/2021 |
| Last Update Date | 01/25/2021 |
| Medicare PECOS PAC ID | 2264806785 |
|---|---|
| Medicare Enrollment ID | O20230324001433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770173650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| Provider Name | Marcelo Venegas Pizarro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245431204 PECOS PAC ID: 5890687354 Enrollment ID: I20190829004223 |
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