MR. ALDRIN CODILLA ROQUE


Address: 2401 W. University Avenue, Muncie, IN 47303
Phone: 7657473367

MR. ALDRIN CODILLA ROQUE (NPI# 1356608020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356608020
Entity Type Individual
Full Name MR. ALDRIN CODILLA ROQUE
Credential MD
Practice Address 2401 W. University Avenue
Muncie
IN 47303
Mailing Address 9247 Avenue Pointe Circle
Apartment 109
Orlando
FL 32821
Practice Telephone 7657473367
Practice Fax Number 7657511451
Mailing Telephone 4074211116
Enumeration Date 2012-04-18
Last Update Date 2014-12-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 2401 W. UNIVERSITY AVENUE
City MUNCIE
State IN
Zip Code 47303

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538266093 Paul F Mellen Pathology 2401 W. University Avenue, Muncie, IN 47303 2006-09-19
1346870680 Robin Kathryn Winkler Dietitian, Registered 2401 W. University Avenue, Muncie, IN 47303 2020-01-24
1336779677 Lydia G Hatfield Dietitian, Registered 2401 W. University Avenue, Muncie, IN 47303 2020-01-24
1942830294 Lauren Elizabeth Staugler Dietitian, Registered 2401 W. University Avenue, Muncie, IN 47303 2020-01-24
1659809739 Bindiya Shah Student in an Organized Health Care Education/Training Program 2401 W. University Avenue, Iu Health Ball Memorial Hospital, Muncie, IN 47303 2017-06-01
1912199977 Misty Dawn Rudig Social Worker 2401 W. University Avenue, Third Floor, Muncie, IN 47304-3988 2007-08-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144790726 Elisabeth Marriah Bernal Nurse Practitioner 2525 W University Ave Suite 300, Muncie, IN 47303 2018-11-27
1013413806 Charles Austin Curtis Student in an Organized Health Care Education/Training Program Iu Health Ball Memorial Family Medicine Residency, 221 North Celia Avenue, Muncie, IN 47303 2018-04-02
1730607359 Ronald Settles Home Health 1812 Carver Dr, Muncie, IN 47303 2017-09-04
1932635034 Abigail Chilsen Student in an Organized Health Care Education/Training Program 221 North Celia Avenue, Iu Health Ball Memorial Family Medicine Residency, Muncie, IN 47303 2017-05-10
1780117176 Adil Khan Internal Medicine Iu Health Ball Memorial Hospital, 2525 W. University Ave, Suite 401, Muncie, IN 47303 2017-04-04
1508212044 Erick Reece Christensen Student in an Organized Health Care Education/Training Program 2525 W University Ave Iu Health Ball Memorial Hospital, Suite 401, Muncie, IN 47303 2016-05-13
1700230075 Mallory Nebergall Student in an Organized Health Care Education/Training Program 2525 W. University Ave. Ste 401, Iu Health Ball Memorial Hospital, Muncie, IN 47303 2016-04-22
1811341282 Padmini Parameswaran Student in an Organized Health Care Education/Training Program 2525 W. University Ave, Suite 401, Muncie, IN 47303 2016-04-21
1437557345 Great Lakes Family Dental Group-muncie, P.C. Dentist 1003 W. Mcgalliard Road, Muncie, IN 47303 2014-12-09
1194145185 Swetha Boddeda Student in an Organized Health Care Education/Training Program 2401 W University Lane, Iu Health Ball Memorial Hospital, Muncie, IN 47303 2014-04-17
Find all providers in zip 47303

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013413806 Charles Austin Curtis Student in an Organized Health Care Education/Training Program Iu Health Ball Memorial Family Medicine Residency, 221 North Celia Avenue, Muncie, IN 47303 2018-04-02
1932635034 Abigail Chilsen Student in an Organized Health Care Education/Training Program 221 North Celia Avenue, Iu Health Ball Memorial Family Medicine Residency, Muncie, IN 47303 2017-05-10
1154855229 Unknown Harmanjot Student in an Organized Health Care Education/Training Program 2525 W University Ave Ste 401, Iu Health Ball Memorial Hospital, Muncie, IN 47303-3433 2017-04-17
1508212044 Erick Reece Christensen Student in an Organized Health Care Education/Training Program 2525 W University Ave Iu Health Ball Memorial Hospital, Suite 401, Muncie, IN 47303 2016-05-13
1700230075 Mallory Nebergall Student in an Organized Health Care Education/Training Program 2525 W. University Ave. Ste 401, Iu Health Ball Memorial Hospital, Muncie, IN 47303 2016-04-22
1811341282 Padmini Parameswaran Student in an Organized Health Care Education/Training Program 2525 W. University Ave, Suite 401, Muncie, IN 47303 2016-04-21
1255703625 Gabrielle Perryman Student in an Organized Health Care Education/Training Program 3755 N Marleon Dr, Muncie, IN 47304-7819 2015-10-26
1467823658 Aubree Block Student in an Organized Health Care Education/Training Program 2313 W Sheffield Dr, Muncie, IN 47304-1262 2015-10-13
1194145185 Swetha Boddeda Student in an Organized Health Care Education/Training Program 2401 W University Lane, Iu Health Ball Memorial Hospital, Muncie, IN 47303 2014-04-17
1679700918 So Ra Kim Student in an Organized Health Care Education/Training Program 405 S Morrison Rd, Apt # 99, Muncie, IN 47304-4043 2009-06-13
Find all providers in MUNCIE

Competitor

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City MUNCIE
Zip Code 47303

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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