Active NPI
Debora Roque
- Optician
- Guayama, PR
National Provider Identifier
1235970872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 715
- Practice address
- Urb Jardines de Monte Olivo
Calle Apolo 107
Guayama, PR 00784 - Phone
- (787) 420-3733
- NPI assigned
- Jun 6, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 715 | PR | Primary |
Addresses
Primary practice location
Urb Jardines de Monte Olivo
Calle Apolo 107
Guayama, PR 00784
Mailing address
Urb Jardines de Monte Olivo
Calle Apolo 107
Guayama, PR 00784
Phone (787) 420-3733
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 |
|---|---|---|---|
| 715 | PR | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1235970872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB JARDINES DE MONTE OLIVO",
"address_2": "CALLE APOLO 107",
"city": "GUAYAMA",
"state": "PR",
"postal_code": "00784",
"telephone_number": "787-420-3733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB JARDINES DE MONTE OLIVO",
"address_2": "CALLE APOLO 107",
"city": "GUAYAMA",
"state": "PR",
"postal_code": "00784",
"telephone_number": "787-420-3733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROQUE",
"first_name": "DEBORA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-06",
"last_updated": "2024-06-06",
"certification_date": "2024-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "PR",
"license": "715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guayama, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.