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ELMER DEJESUS ROQUE MD NPI 1134141096


NPI Information

NPI: 1134141096
Provider Name: ELMER DEJESUS ROQUE, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
337 ST LUKES DR
MONTGOMERY, AL
ZIP 36117
Phone: (334) 356-1411
Get Directions

Elmer Dejesus Roque, MD is a pediatrics in Montgomery, AL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Elmer Dejesus Roque, MD NPI is 1134141096. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

337 ST LUKES DR
MONTGOMERY, AL
ZIP 36117-102
Phone: (334) 356-1411
Fax: (334) 356-1578

The enumeration date for this NPI number is 7/23/2006 and was last updated on 3/30/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine00022416ALABAMANo
2208000000XPediatrics00022416ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P00040942OTHERALABAMARAILROAD
2000060555MEDICARE ID-TYPE UNSPECIFIEDALABAMA
3630902054MEDICAIDALABAMA
4000060553MEDICARE ID-TYPE UNSPECIFIEDALABAMA
56309000054MEDICAIDALABAMA
6009910176MEDICAIDALABAMA
751060553OTHERALABAMABCBS
8515165531OTHERALABAMABCBS
9392055922MEDICAIDALABAMA
10H33629MEDICARE UPINALABAMA
1151516953OTHERALABAMABCBS
12630903054MEDICAIDALABAMA
13630901054MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.