Healthcare Provider Details

I. General information

NPI: 1043564156
Provider Name (Legal Business Name): ROIG HEALTH CARE MANAGEMENT, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2012
Last Update Date: 03/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 CALLE PASEO AVENIDA VILLA PINARES
VEGA BAJA PR
00693
US

IV. Provider business mailing address

PO BOX 953
MOROVIS PR
00687-0953
US

V. Phone/Fax

Practice location:
  • Phone: 787-858-2416
  • Fax:
Mailing address:
  • Phone: 787-862-4417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number1043564056
License Number StatePR

VIII. Authorized Official

Name: MRS. ALBA JUDITH IGLESIAS
Title or Position: ADMINISTRATOR
Credential:
Phone: 787-862-4417