Roa-Licea MD, PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ROA-LICEA MD, PA

Practice address

1321 NW 14TH Street
Suite 601
Miami, FL 33125-1659

Phone

(305) 545-4980

Fax

(305) 669-9820

NPI assigned

Oct 27, 2009

Last updated

Jul 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Irina Licea, M.DNPI 1649454091

Title

Co-Owner

Phone

(786) 564-2584

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Irina Licea, MD

  • Family Medicine Physician
  • Miami, FL
  • NPI 1649454091
  Medicare reassignment Care Compare group NPD Authorized official
• Raul Roa, MD

  • Family Medicine Physician
  • Miami, FL
  • NPI 1316110653
  Medicare reassignment Care Compare group NPD
• Meybis Falcon Gonzalez, ARNP

  • Nurse Practitioner
  • Miami, FL
  • NPI 1467157057
  Medicare reassignment NPD
• Julio Mario Ibars Alvarez, APRN

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1215606926
  Medicare reassignment NPD
• Carlos Manuel Perez Sedano, ARNP

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1851998850

  Multi-Specialty

  Medicare reassignment NPD
• Julio Reinaldo Sanchez Hernandez, ARNP,FNP-BC, NP-C

  • Family Nurse Practitioner
  • Coral Gables, FL
  • NPI 1891165320
  Medicare reassignment NPD

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1033445069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 NW 14TH ST",
            "address_2": "SUITE 601",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251673",
            "telephone_number": "305-545-4980",
            "fax_number": "305-669-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 NW 14TH STREET",
            "address_2": "SUITE 601",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251659",
            "telephone_number": "305-545-4980",
            "fax_number": "305-669-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROA-LICEA MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "LICEA",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "786-564-2584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RMC Therapy
• Rmja Consulting Group Inc.
• Rmmedical Services Inc
• Ro & Associates Inc.
• Ro Medical Services, Inc
• Edgard Roa, APRN
• Melanie Roa
• Raul Roa, MD
• Yessenia Pahola Roa, PT
• Kelley Roach, DO

• Specialist in Miami, FL
• Providers in Miami, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.