Carlos M Roque, MD is a medicare enrolled "Surgery" physician in Vega Baja, Puerto Rico. His current practice location is
Carr Num. 2 Km.39.5 Hospital Wilma N Vazquez, Call Box 7001, Vega Baja, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at
(787) 858-1580.
Carlos M Roque is licensed to practice in Puerto Rico (license number 6709) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003873704.
Physician's Profile
| Full Name | Carlos M Roque |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | Carr Num. 2 Km.39.5 Hospital Wilma N Vazquez, Vega Baja, Puerto Rico |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1003873704
- Provider Enumeration Date: 04/27/2006
- Last Update Date: 03/18/2014
Medicare PECOS Information:
- PECOS PAC ID: 1052328978
- Enrollment ID: I20060316000449
Medical Identifiers
Medical identifiers for Carlos M Roque such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003873704 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 6709 (Puerto Rico) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carlos M Roque allows following entities to bill medicare on his behalf.
| Entity Name | Neomed Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790776334
PECOS PAC ID: 1850284100
Enrollment ID: O20040414001654 |
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| Entity Name | Tiger Med Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205044013
PECOS PAC ID: 3476707258
Enrollment ID: O20130201000237 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carlos M Roque is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Carlos M Roque, MD
Po Box 7001,
Vega Baja, PR 00694-7001
Ph: (787) 858-1580 | Carlos M Roque, MD
Carr Num. 2 Km.39.5 Hospital Wilma N Vazquez, Call Box 7001,
Vega Baja, PR 00694-7001
Ph: (787) 858-1580 |
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