Carlos M Roque, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

6709 Issued in PR

Practice address

Carr Num. 2 KM.39.5 Hospital Wilma N Vazquez
Call Box 7001
Vega Baja, PR 00694-7001

Phone

(787) 858-1580

Fax

(787) 858-2385

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neomed Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Gurabo, PR
  • NPI 1790776334
  Medicare reassignment NPD
• Tiger Med Corp

  • Health Maintenance Organization
  • Caguas, PR
  • NPI 1205044013
  Medicare reassignment NPD
• Neomed Center, Inc

  • Clinical Medical Laboratory
  • Gurabo, PR
  • NPI 1518286962
  NPD
• Neomed Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Naguabo, PR
  • NPI 1093357337
  NPD

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1003873704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7001",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006947001",
            "telephone_number": "787-858-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR NUM. 2 KM.39.5 HOSPITAL WILMA N VAZQUEZ",
            "address_2": "CALL BOX 7001",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006947001",
            "telephone_number": "787-858-1580",
            "fax_number": "787-858-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROQUE",
        "first_name": "CARLOS",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "6709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristian Rafael Roman Santiago, CRNA
• Neshma Roman-Velez, MD
• Ernesto J Roman, MD
• Jey Romero Tosado
• Maryury Romero, M.A
• Jorge Manuel Roque, DC
• Giselle M Rosa Martell
• Jessy Rosa, DC, NL
• Miguel Jose Rosa
• Rosado Carrion Medical Group PSC

• Surgery Physician in Vega Baja, PR
• Providers in Vega Baja, PR by specialty
• Surgery Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.