MEDICARE: DR. ROBERTO BUXEDA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	7525	PR

General Provider Information

NPI Number	:	1982609996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERTO BUXEDA MD

Provider Business Mailing Address
First Line	:	VALLE ARRIBA HEIGHTS
Second Line	:	O12 EUCALIPTO
City	:	CAROLINA
State	:	PR
Zip	:	00983
Country	:	US
Telephone Number	:	787-723-0931
Fax Number	:	787-723-0931

Provider Business Practice Location Address
First Line	:	PLAZA MERCADO RIO PIEDRAS RAFAEL HERNANDEZ MARIN
Second Line	:	CALLE DE DIEGO 189 LOCAL 8
City	:	SAN JUAN
State	:	PR
Zip	:	00925
Country	:	US
Telephone Number	:	787-723-0931
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	02/05/2026

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