Roya Family Medical Center LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036100953 Issued in IL

Legal business name

ROYA FAMILY MEDICAL CENTER LTD

Practice address

714 N Broadway Ave.
Melrose Park, IL 60160

Phone

(708) 865-0663

Fax

(708) 681-1812

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Alexandre, M.D.

Title

President

Phone

(708) 865-0663

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1043355670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5140",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603055140",
            "telephone_number": "708-865-0663",
            "fax_number": "708-681-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 N BROADWAY AVE.",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "60160",
            "telephone_number": "708-865-0663",
            "fax_number": "708-681-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYA FAMILY MEDICAL CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "ALEXANDRE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-865-0663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036100953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036100953",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1626842",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen Rodriguez, MA
• Alondra Romero Castro
• Stephanie Rosania, MD
• Stephanie Rosen
• David R Rosi, MD
• RTP Sports Medicine and Physical Therapy LLC
• Catalina Vivian Rubilar Ulloa
• Maureen Ellen Ruder, M.D.
• Helene Marie Ruiz Pla, MD
• Erika Vanessa Ruiz, PHARMD

• Family Medicine Physician in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.