Individual provider Active NPI

Alfredo Roger, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1306835335
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15907 Issued in PR
Practice address
164 Calle Weser
Rio Piedras Hghts
San Juan, PR 00926-3202
Phone
(787) 758-0972
NPI assigned
Oct 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15907 PR Primary

Addresses

Primary practice location

164 Calle Weser
Rio Piedras Hghts
San Juan, PR 00926-3202

Mailing address

164 Calle Weser
Rio Piedras Hghts
San Juan, PR 00926-3202
Phone (787) 758-0972

Other names 1

  • Dr. Alfredo Roger Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20051205000450 PR Practitioner - General Practice 7517987613 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Municipio de Juncos CurrentSince Sep 28, 2025 Accepting new patients
Gobierno Municipal de Juncos CurrentSince Sep 28, 2025 Accepting new patients
Municipio de Juncos Past 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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1306835335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 CALLE WESER",
            "address_2": "RIO PIEDRAS HGHTS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263202",
            "telephone_number": "787-758-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 CALLE WESER",
            "address_2": "RIO PIEDRAS HGHTS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263202",
            "telephone_number": "787-758-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGER",
        "first_name": "ALFREDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALFREDO",
            "last_name": "ROGER",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.