Angela M Roque

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2003-10159 Issued in FL

Legal business name

ANGELA M ROQUE

Practice address

320 Knob Hill Blvd
Boca Raton, FL 33431-4646

Phone

(561) 362-7227

Fax

(561) 362-6959

NPI assigned

May 27, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Angela Matilde Roque

Title

Owner

Phone

(561) 362-7227

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• USA Diabetic Supplies Doing business as

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1093718595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 KNOB HILL BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314646",
            "telephone_number": "561-362-7227",
            "fax_number": "561-362-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 KNOB HILL BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314646",
            "telephone_number": "561-362-7227",
            "fax_number": "561-362-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA M ROQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "ROQUE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MATILDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-362-7227",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "2003-10159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "773326",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1569725-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90006545",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009917475",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USA Diabetic Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emilia Andriescu, PT
• Angel Hearts Companion Care, Inc.
• Angel Light Care and Transportation Inc.
• Angel Touch Home Care, LLC
• Angela Jones MD PLLC
• Isabella Angeli Pahim, MD
• Angelica Ramirez MD PA
• Alexandria Angelides, MD
• Michael Christopher Angelillo, DO
• Aaron Anglemyer, R.PH.

• Durable Medical Equipment & Medical Supplies in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.