Active NPI
Juan Carlos Roque-Martinez, PT
- Physical Therapist
- Ponce, PR
National Provider Identifier
1003835307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 900
- Practice address
- Yy43 Calle 49
Jardines del Caribe
Ponce, PR 00728-2654 - Phone
- (787) 812-3030
- Fax
- (787) 651-4306
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 900 | PR | Primary |
Addresses
Primary practice location
Yy43 Calle 49
Jardines del Caribe
Ponce, PR 00728-2654
Mailing address
49TH Street # Yy-43
Jardines del Caribe
Ponce, PR 00728-4438
Phone (787) 812-3030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 900 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003835307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49TH STREET # YY-43",
"address_2": "JARDINES DEL CARIBE",
"city": "PONCE",
"state": "PR",
"postal_code": "007284438",
"telephone_number": "787-812-3030",
"fax_number": "787-651-4306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "YY43 CALLE 49",
"address_2": "JARDINES DEL CARIBE",
"city": "PONCE",
"state": "PR",
"postal_code": "007282654",
"telephone_number": "787-812-3030",
"fax_number": "787-651-4306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROQUE-MARTINEZ",
"first_name": "JUAN",
"middle_name": "CARLOS",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.