Provider Demographics
NPI:1881817781
Name:CUMMINGS, ROBERTO CARLOS (MD)
Entity Type:Individual
Prefix:MR
First Name:ROBERTO
Middle Name:CARLOS
Last Name:CUMMINGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1839
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-1839
Mailing Address - Country:US
Mailing Address - Phone:787-834-1548
Mailing Address - Fax:787-834-1919
Practice Address - Street 1:EDIF LA PALMA
Practice Address - Street 2:SUITE 4-B
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-4861
Practice Address - Country:US
Practice Address - Phone:787-834-1548
Practice Address - Fax:787-834-1919
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7223207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR98770Medicare ID - Type Unspecified