Individual provider Active NPI

Roque A Perez, DMD

  • Dentist
  • Utuado, PR
National Provider Identifier
1356300255
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
534 Issued in PR
Practice address
Barcelo
#40
Utuado, PR 00641
Phone
(787) 894-2516
Fax
(787) 894-2516
NPI assigned
Mar 20, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 534 PR Primary

Addresses

Primary practice location

Barcelo
#40
Utuado, PR 00641

Mailing address

PO Box 234
Utuado, PR 00641
Phone (787) 894-2516

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150706001122 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7719299726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1356300255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 234",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "00641",
            "telephone_number": "787-894-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARCELO",
            "address_2": "#40",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "00641",
            "telephone_number": "787-894-2516",
            "fax_number": "787-894-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ROQUE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utuado, PR

Sources for this page

Verify at the official NPI Registry.