Bernardo Roque, PSY.D, HCT

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3156 Issued in PR

Practice address

Carr. 198 KM 22.0
Bo. Montones I
Las Piedras, PR 00791-0198

Phone

(787) 716-0050

NPI assigned

Aug 5, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Servicios Psicologicos Renuevate LLC

  • Clinical Psychologist
  • Las Piedras, PR
  • NPI 1891518189
  Medicare reassignment NPD Authorized official
• N.O.R. Community Mental Health, Corp.

  • Adult Mental Health Clinic/Center
  • Las Piedras, PR
  • NPI 1659337699
  NPD (past)

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1295991578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. ALTURAS DE SAN BENITO",
            "address_2": "CALLE REINA DE LA PAZ 11",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007919202",
            "telephone_number": "787-645-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 198 KM 22.0",
            "address_2": "BO. MONTONES I",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007910198",
            "telephone_number": "787-716-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROQUE",
        "first_name": "BERNARDO",
        "name_prefix": "Dr.",
        "credential": "PSY.D, HCT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "3156",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PR",
            "license": "8072",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juanita Enid Rodriguez
• Nidza Rodriguez
• Thaira Enid Rodriguez, NL
• Nicole M Roman Medina
• Amaury Roque Gonzalez
• Maria Del Pilar Rosa, PSYD
• Jessica Rosado, PSYD
• Rafael A. Rosario, M.D.
• Ivan Rosich Capo, M.D.
• Royal Medical Group LLC

• Clinical Psychologist in Las Piedras, PR
• Providers in Las Piedras, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.