Elmer Dejesus Roque
MD | Pediatrics | Male
Elmer Dejesus Roque, MD is a Montgomery, Alabama based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Elmer Dejesus Roque is
337 St Lukes Dr, Montgomery, Alabama - 36117-7102. He can be contacted on phone at
334-356-1411 and fax number 334-356-1578.
Elmer Dejesus Roque is a sole proprietor of his business.
NPI number (Unique professional ID) for Elmer Dejesus Roque is
1134141096 which was assigned by NPPES on 23 Jul, 2006 and it was last updated on 30 Mar, 2011.
Elmer Dejesus Roque license number is
00022416 for Pediatrics (208000000X) in Alabama.
Elmer Dejesus Roque is a pediatrician who 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.
Complete Profile:
Elmer Dejesus Roque basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Elmer Dejesus Roque |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
| Sole Proprietor : | Yes |
|---|
Business Address:
Elmer Dejesus Roque address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 337 St Lukes Dr
Montgomery, AL, 36117-7102
United States |
|---|
| Phone Number : | 334-356-1411 |
|---|
| Fax Number : | 334-356-1578 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1134141096 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 23 Jul, 2006 |
|---|
| Last Updated On : | 30 Mar, 2011 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Elmer Dejesus Roque are as mentioned. Primary taxonomy code for Elmer Dejesus Roque, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207Q00000X | Family Medicine | No | 00022416 | AL |
| 208000000X | Pediatrics | Yes | 00022416 | AL |
Legacy Identifiers:
Other legacy medical identifiers of Elmer Dejesus Roque such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| P00040942 | Other | AL | RAILROAD |
| 630902054 | MEDICAID | AL | |
| 6309000054 | MEDICAID | AL | |
| 009910176 | MEDICAID | AL | |
| 51060553 | Other | AL | BCBS |
| 515165531 | Other | AL | BCBS |
| 392055922 | MEDICAID | AL | |
| 51516953 | Other | AL | BCBS |
| 630903054 | MEDICAID | AL | |
| 630901054 | MEDICAID | AL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 337 St Lukes Drive
Montgomery, AL, 36117-7102
United States |
|---|
| Phone Number : | 334-356-1411 |
|---|
| Fax Number : | 334-356-1578 |
|---|
Business Location:
Patients can refer following map for directions to
Elmer Dejesus Roque practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.