Individual provider Active NPI

Edwin Roig Casanova, M.D.

  • Specialist
  • San Juan, PR
National Provider Identifier
1265491864
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
04611 Issued in PR
Practice address
809 Calle Hipodromo
San Juan, PR 00909-2523
Phone
(787) 200-9462
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 04611 PR Primary

Addresses

Primary practice location

809 Calle Hipodromo
San Juan, PR 00909-2523

Mailing address

4633 Ave Isla Verde
Castillo del Mar Apt.103
Carolina, PR 00979-5300
Phone (787) 200-9462

Other names 1

  • Dr. Edwin Roig Other name

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04611PRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo Ginecologia Hospital Municipal SJ Specialist Past Accepting new patients
Grupo Medicina Interna HMSJ Specialist Past Accepting new patients
Grupo Anestesiologos de Ojos PastSince Jan 2, 2003 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1265491864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 AVE ISLA VERDE",
            "address_2": "CASTILLO DEL MAR APT.103",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009795300",
            "telephone_number": "787-200-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 CALLE HIPODROMO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092523",
            "telephone_number": "787-200-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROIG CASANOVA",
        "first_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "04611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWIN",
            "last_name": "ROIG",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.