Diana Roque

Primary specialty

OptometristTaxonomy code 152W00000X

License

509 Issued in PR

Practice address

1290 Calle 54 SE
Urb. la Riviera
San Juan, PR 00921-3141

Phone

(787) 774-3766

Fax

(787) 883-6124

NPI assigned

Jul 1, 2008

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Optics Eye Care Inc

  • Eyewear Supplier
  • San Juan, PR
  • NPI 1972983112
  NPD (past)

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1295997138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 CALLE 54 SE",
            "address_2": "URB. LA RIVIERA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213141",
            "telephone_number": "787-774-3766",
            "fax_number": "787-883-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 CALLE 54 SE",
            "address_2": "URB. LA RIVIERA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213141",
            "telephone_number": "787-774-3766",
            "fax_number": "787-883-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROQUE",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roosevelt Pediatric Group
• Rootcanals to Go PSC
• Luis Fernando Roque Colon, LCSW
• Alexandra Marlisse Roque Saldana, MD
• Jose Roque Torres, MD
• Daniel Roques Arroyo, M.D
• Eliseo Roques, M.D.
• Nicole Ros, M.A.
• Emily Ann Rosa Bouza
• Wilmarie Rosa Calzada, MSW

• Optometrist in San Juan, PR
• Providers in San Juan, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.