NPIMap

Organization Active NPI

Roland Gracia PA

  • Diagnostic Radiology Physician
  • Key Biscayne, FL
National Provider Identifier
1013364207
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME34075 Issued in FL
Legal business name
ROLAND GRACIA PA
Practice address
1111 Crandon Blvd Apt A1004
Key Biscayne, FL 33149-2618
Phone
(305) 562-2150
NPI assigned
May 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Authorized official

Name
Roland Gracia, MD
Title
President
Phone
(305) 562-2150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X ME34075 FL Primary

Addresses

Primary practice location

1111 Crandon Blvd Apt A1004
Key Biscayne, FL 33149-2618

Mailing address

1111 Crandon Blvd
A-1004
Key Biscayne, FL 33149-2745
Phone (305) 562-2150

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1013364207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 CRANDON BLVD",
            "address_2": "A-1004",
            "city": "KEY BISCAYNE",
            "state": "FL",
            "postal_code": "331492745",
            "telephone_number": "305-562-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 CRANDON BLVD APT A1004",
            "city": "KEY BISCAYNE",
            "state": "FL",
            "postal_code": "331492618",
            "telephone_number": "305-562-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLAND GRACIA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "GRACIA",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-562-2150",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME34075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key Biscayne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.