Lauren D Roero, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9108595 Issued in FL

Practice address

7481 W Oakland Park Boulevard
Suite 100
Lauderhill, FL 33319-4985

Phone

(954) 771-7743

Fax

(954) 771-7748

NPI assigned

Mar 23, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1003200585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH STREET",
            "address_2": "SUITE 409",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615834",
            "telephone_number": "888-852-6672",
            "fax_number": "786-235-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7481 W OAKLAND PARK BOULEVARD",
            "address_2": "SUITE 100",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333194985",
            "telephone_number": "954-771-7743",
            "fax_number": "954-771-7748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1065 NE 125th Street",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "331615832",
            "country_code": "US",
            "telephone_number": "305-891-0050",
            "fax_number": "305-891-0497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROERO",
        "first_name": "LAUREN",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-23",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9108595",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverley Roache, LPN
• Teresa Facyson Robinson
• Gabriela Rodriguez Carrillo
• Deisy M Rodriguez Rosales, RBT
• Andrea Rodriguez, DMD
• Caryn Rollo
• Marlene Roman
• Genevieve Romelus
• Ileana Romero-Bolumen, MD
• Rose Hill Psychology PA

• Physician Assistant in Lauderhill, FL
• Providers in Lauderhill, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.