Isidro Roque, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

333121 Issued in CO

Practice address

2460 W 26TH Ave Ste 217
Denver, CO 80211-5308

Phone

(303) 322-7108

NPI assigned

Oct 20, 2016

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1669923959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 E 68TH AVE",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800222524",
            "telephone_number": "720-404-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 W 26TH AVE STE 217",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802115308",
            "telephone_number": "303-322-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROQUE",
        "first_name": "ISIDRO",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CO",
            "license": "333121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roots Family Center
• Roots of Reentry
• Roots Pediatric Occupational Therapy
• Dana L Roper-Cooper, MD
• Elizabeth Roper
• Anita Williams Roquemore
• Adriano Rosa, CPED ATC
• Christina Rosales
• Rosalyn Shkolnikov, DMD, PLLC
• Ann Chester Rosapep

• Licensed Practical Nurse in Denver, CO
• Providers in Denver, CO by specialty
• Licensed Practical Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.