CARLOS M ROQUE M.D. NPI 1003873704

Surgery in Vega Baja, PR

About CARLOS ROQUE

Carlos Roque is a provider in Vega Baja, PR with more than 42 years of experience. The NPI number assigned to this provider is 1003873704. The practitioner's primary taxonomy code is Surgery (208600000X). The provider is registered as an individual and their NPI record was last updated 4 years ago. Carlos Roque is registered with Medicare and accepts claims assignment.

NPI1003873704 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name CARLOS M ROQUE M.D.
Provider Location AddressCARR NUM. 2 KM.39.5 HOSPITAL WILMA N VAZQUEZ CALL BOX 7001 VEGA BAJA, PR 00694 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 7001 VEGA BAJA, PR 00694 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameOTHER
Graduation Year1976
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-27-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date03-18-2014 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

CARLOS M ROQUE M.D.
CARR NUM. 2 KM.39.5 HOSPITAL WILMA N VAZQUEZ
CALL BOX 7001
VEGA BAJA, PR
ZIP 00694
Phone: (787) 858-1580
Fax: (787) 858-2385
Get Directions

Mailing Address

CARLOS M ROQUE M.D.
PO BOX 7001
VEGA BAJA, PR
ZIP 00694
Phone: (787) 858-1580

Primary Taxonomy

Taxonomy Code208600000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationSurgery
TypeAllopathic & Osteopathic Physicians
License No.6709
License StatePR
Taxonomy DescriptionA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
C84223MEDICARE UPIN (02)PR
0098208MEDICARE ID-TYPE UNSPECIFIED (04)PR

Map Location


CARLOS M ROQUE M.D. address is CARR NUM. 2 KM.39.5 HOSPITAL WILMA N VAZQUEZ CALL BOX 7001 VEGA BAJA, PR 00694