Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Everardo Roque

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164106183

Everardo Roque is a Student in an Organized Health Care Education/Training Program in Milwaukee, Wisconsin. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

2123 S 36th St
Milwaukee, WI 53215-2308
Phone: (414) 378-4847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1164106183
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 12, 2023
Last updated in NPPESJune 12, 2023
Certification dateJune 10, 2023

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