Provider Demographics
NPI:1972303402
Name:ROQUE-CRUZ, MILAGROS
Entity type:Individual
Prefix:
First Name:MILAGROS
Middle Name:
Last Name:ROQUE-CRUZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:MILAGROS
Other - Middle Name:
Other - Last Name:ROQUE CRUZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:HC 11 BOX 47665
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-9040
Mailing Address - Country:US
Mailing Address - Phone:413-737-2437
Mailing Address - Fax:
Practice Address - Street 1:120 MAPLE ST STE 304
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01103-2216
Practice Address - Country:US
Practice Address - Phone:413-737-2437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor