Active NPI
Coralia Rosa Roca, M.D.
- General Practice Physician
- Miami, FL
National Provider Identifier
1043539265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN 376
- Practice address
- 540 NW 165TH St Ste 310
Miami, FL 33169-6342 - Phone
- (786) 562-7479
- Fax
- (305) 564-7610
- NPI assigned
- May 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 18,001 | PR | |
| General Practice Physician | 208D00000X | ACN 376 | FL | Primary |
Addresses
Primary practice location
540 NW 165TH St Ste 310
Miami, FL 33169-6342
Mailing address
540 NW 165TH St Ste 310
Miami, FL 33169-6342
Phone (786) 562-7479
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007653300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACN 376 | FL | MD | General Practice Physician |
| 18,001 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mar Medical Center LLC | Current | Accepting new patients | |
| VA Physical Rehabilitation Corp | Current | Accepting new patients | |
| Lba Medical Services Inc | General Practice | Past | Accepting new patients |
| Florida Department of Health | Past | Accepting new patients |
Locations
633 N Krome Ave
Ste 5
Homestead, FL 33030
Phone (786) 339-9736
974 Old Dixie Hwy
Homestead, FL 33030
Phone (305) 246-9998
7821 Coral Way
Ste 129
Miami, FL 33155
Phone (305) 266-4651
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Miami, FL
- NPI 1336020569
-
- Multi-Specialty Clinic/Center
- Homestead, FL
- NPI 1518666494
-
- Public Health or Welfare Agency
- Quincy, FL
- NPI 1346446895
-
- General Practice Physician
- San Juan, PR
- NPI 1144224874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1043539265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 NW 165TH ST STE 310",
"city": "MIAMI",
"state": "FL",
"postal_code": "331696342",
"telephone_number": "786-562-7479",
"fax_number": "305-564-7610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 NW 165TH ST STE 310",
"city": "MIAMI",
"state": "FL",
"postal_code": "331696342",
"telephone_number": "786-562-7479",
"fax_number": "305-564-7610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCA",
"first_name": "CORALIA",
"middle_name": "ROSA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-27",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "18,001",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN 376",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007653300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.