Active NPIIndividual providerSole proprietor

Carlos M Rodriguez Roth, PA

Physician Assistant, Medical in Ponce, Puerto Rico

NPI Number1750040549
Practice location
Urb. Valle Alto Calle Loma #2386, Ponce, PR 00730-4145
Fax
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Last updated
December 9, 2021

Carlos Manuel Rodriguez Roth is a Physician Assistant, Medical based in Ponce, PR. Carlos Manuel Rodriguez Roth practices in Ponce, PR and has the professional credentials of PA. The NPI Number for Carlos Manuel Rodriguez Roth is 1750040549 and holds a License No. 1121 (PR). The current practice location address for Carlos Manuel Rodriguez Roth is Urb. Valle Alto Calle Loma #2386, Ponce, PR 00730-4145 and can be reached out via phone at 787-599-8148.

Provider Profile Details

NPI Number
1750040549
Provider Name
Carlos Manuel Rodriguez Roth
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
Urb. Valle Alto Calle Loma #2386, Ponce, PR 00730-4145
Phone Number
787-599-8148
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 9, 2021
Last Update Date
December 9, 2021
Certification Date
December 2, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
Urb. Valle Alto Calle Loma #2386
Ponce, PR 00730-4145
City
Ponce
Zip
00730-4145
Phone Number
787-599-8148
Ponce, PR 00730Get directions →

Provider Business Mailing Address Details

Address
Urb. Valle Alto Calle Loma #2386
Ponce, PR 00730-4145
City
Ponce
State
PR
Zip
00730-4145
Phone Number
787-599-8148

License Information

License Number
1121
License State
PR
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Carlos M Rodriguez Roth, PA?

The NPI number of Carlos M Rodriguez Roth, PA is 1750040549. It was assigned on December 9, 2021 and is currently active in the NPPES registry.

What is the specialty of Carlos M Rodriguez Roth, PA?

Carlos M Rodriguez Roth, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in PR under license number 1121.

Where does Carlos M Rodriguez Roth, PA practice?

The practice location is Urb. Valle Alto Calle Loma #2386, Ponce, PR 00730-4145. The office can be reached at 787-599-8148 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1750040549 directly on the NPPES registry website.

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