Individual provider Active NPI

Armando Roca Jr., D.O.

  • Family Medicine Physician
  • Hollywood, FL
National Provider Identifier
1073511754
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS0007074 Issued in FL
Practice address
6301 Pembroke Rd
Hollywood, FL 33023-2217
Phone
(954) 961-8394
Fax
(954) 241-0445
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS0007074 FL Primary

Addresses

Primary practice location

6301 Pembroke Rd
Hollywood, FL 33023-2217

Mailing address

1801 SW 117TH Ave
Davie, FL 33325-4644
Phone (954) 723-0523

Other identifiers 1

IdentifierTypeStateIssuer
0251636500MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120712000704 FL Practitioner - Family Practice 9830354042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nova Southeastern College of Osteo Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6301 Pembroke Rd
Hollywood, FL 33023-2217
Phone (954) 961-8394

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS0007074FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Medical Clinics Association Inc Family Medicine CurrentSince Jul 26, 1997 Accepting new patients
Broward Quality LLC Family Medicine PastSince Jul 26, 1997 Accepting new patients

Locations

6301 Pembroke Rd
Hollywood, FL 33023
Phone (954) 961-8394

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIBGBA/Endpoint/HIBGBA

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1073511754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SW 117TH AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333254644",
            "telephone_number": "954-723-0523",
            "fax_number": "954-241-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 PEMBROKE RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330232217",
            "telephone_number": "954-961-8394",
            "fax_number": "954-241-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCA",
        "first_name": "ARMANDO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0007074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0251636500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.