Active NPI
Aldyth Irma Roach
- Sonography Radiologic Technologist
- North Miami, FL
National Provider Identifier
1083029771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Radiologic Technologist
- License
- 120957
- Practice address
- 12605 NE 7TH Ave
North Miami, FL 33161-4813 - Phone
- (305) 893-9883
- Fax
- (305) 893-5352
- NPI assigned
- Jun 22, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Radiologic Technologist | 2471S1302X | 120957 | FL | Primary |
Addresses
Primary practice location
12605 NE 7TH Ave
North Miami, FL 33161-4813
Mailing address
12605 NE 7TH Ave
North Miami, FL 33161-4813
Phone (305) 893-9883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120957 | FL | MD | Sonography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403395200000",
"number": "1083029771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12605 NE 7TH AVE",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331614813",
"telephone_number": "305-893-9883",
"fax_number": "305-893-5352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12605 NE 7TH AVE",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331614813",
"telephone_number": "305-893-9883",
"fax_number": "305-893-5352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROACH",
"first_name": "ALDYTH",
"middle_name": "IRMA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-22",
"last_updated": "2014-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "2471S1302X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Sonography",
"state": "FL",
"license": "120957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.