George Michael Mendoza Roque, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16006 Issued in PR

Practice address

Paseos del Rio Calle Rosario #182
Caguas, PR 00725

Phone

(787) 934-1254

NPI assigned

Dec 10, 2024

Last updated

Dec 10, 2024By the provider in NPPES

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": "1733788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1881400174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PASEOS DEL RIO CALLE ROSARIO #182",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-934-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PASEOS DEL RIO CALLE ROSARIO #182",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-934-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA ROQUE",
        "first_name": "GEORGE",
        "middle_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "16006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mendez Velez Inc (Lens Corner Caguas)
• Aura Rosa Mendez, MD
• Daniel Mendez, MD
• Emilio A Mendez, PSY.D.
• Ingrid Amanda Mendez, MD
• Odalys Mendoza Villahermosa, MD
• Carla Mendoza
• Mennonite General Hospital Inc (Ama de Llaves Menonita)
• Mennonite General Hospital Inc. (Filter... Info Icon Centro de Salud Conductual Menonita CIMA Caguas)
• Mennonite General Hospital Inc. (Centro de Salud Conductual Menonita CIMA- Parcial Caguas)

• Clinical Social Worker in Caguas, PR
• Providers in Caguas, 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 Dec 10, 2024; 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.