Luis Fernando Roque Colon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14655 Issued in PR

Practice address

350 Ave Carlos E Chardon #500
San Juan, PR 00918

Phone

(787) 396-9924

NPI assigned

Jul 26, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1275214066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 AVE CARLOS E CHARDON #500",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-396-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 AVE CARLOS E CHARDON #500",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-396-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROQUE COLON",
        "first_name": "LUIS",
        "middle_name": "FERNANDO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "14655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raul Rondon de Jesus, P.T.
• Keviany Rondon Pagan, M.S SLP
• Hector Teodoro Rondon, MD
• Roosevelt Pediatric Group
• Rootcanals to Go PSC
• Alexandra Marlisse Roque Saldana, MD
• Jose Roque Torres, MD
• Diana Roque
• Daniel Roques Arroyo, M.D
• Eliseo Roques, M.D.

• Clinical Social Worker in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.