Fabiola Roquena

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227002494 Issued in IL

Practice address

4500 N Troy St Apt 3
Chicago, IL 60625-4523

Phone

(773) 320-0839

NPI assigned

Jun 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1831829464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 N TROY ST APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606254523",
            "telephone_number": "773-320-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 N TROY ST APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606254523",
            "telephone_number": "773-320-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROQUENA",
        "first_name": "FABIOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": "227.002494",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227002494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roque-Ponton Medical Group, S.C.
• Dario Roque, MD
• David Lopez Roque, MD
• Jodi M Roque, MD
• Natalia Roque
• Jacob Lagene Rorabaugh, MD
• Sara Ros, M.D.
• Maria Rosa
• Robert Rosa, MD
• Yesenia R Rosa, RN

• Massage Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.