Luis Mariano Roqueta Sr., SURGICAL ASSISTANT

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

13-486 Issued in CO

Practice address

1190 NW 95TH St
Ste # 306
Miami, FL 33150-2063

Phone

(305) 693-0000

NPI assigned

Feb 22, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1393027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393027200000",
    "number": "1033534433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 NW 95TH ST",
            "address_2": "STE # 306",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502063",
            "telephone_number": "305-693-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 NW 95TH ST",
            "address_2": "STE # 306",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502063",
            "telephone_number": "305-693-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROQUETA",
        "first_name": "LUIS",
        "middle_name": "MARIANO",
        "name_suffix": "Sr.",
        "credential": "SURGICAL ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-22",
        "last_updated": "2014-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "CO",
            "license": "13-486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taime Armenteros Roque, PT, MS, CCCE
• Tatiana Roque, RBT
• Victoria Roque
• Yanela Roque
• Gabriela Roqueta, RCSW
• Rory Anesthesia Services
• Mario Ros Flis
• Francisco Ros Fong
• Barbara Ros Gonzalez
• Rachel Ros Gonzalez

• Surgical Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Surgical Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2014; 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.