IndividualActive
Carlos Rodriguez Roth, P.A.
NPI 1750040549 · Medical Physician Assistant · Ponce, PR
Provider details
- NPI number
- 1750040549
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1121 (PR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
Urb. Valle Alto Calle Loma #2386
Ponce, PR 00730-4145
Phone: (787) 599-8148
Mailing address
Urb. Valle Alto Calle Loma #2386
Ponce, PR 00730-4145
Registry dates
- Enumerated
- 2021-12-09
- Last updated
- 2021-12-09
- Certified
- 2021-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.