J C Raroque MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

11178 Issued in NV

Legal business name

J C RAROQUE MD LLC

Practice address

1000 N Green Valley Pkwy
Suite 440-#105
Henderson, NV 89074-6170

Phone

(702) 303-2190

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Jennifer Raroque, M.D.

Title

Managing Member

Phone

(702) 303-2190

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1346464864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N GREEN VALLEY PKWY",
            "address_2": "SUITE 440-#105",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746170",
            "telephone_number": "702-303-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N GREEN VALLEY PKWY",
            "address_2": "SUITE 440-#105",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746170",
            "telephone_number": "702-303-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J C RAROQUE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "RAROQUE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-303-2190",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "11178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Menuette Charnice Ivey
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• Charlotte Janene Izatt, PT
• Stephanie Izquierdo, LCSW
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• James Jabile, MD
• Alec Jacinto

• Internal Medicine Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.