Organization Active NPI

Roberto Urquiza M D P a

  • Family Medicine Physician
  • Miami Lakes, FL
National Provider Identifier
1093026361
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME75782 Issued in FL
Legal business name
ROBERTO URQUIZA M D P A
Practice address
5801 NW 151St St
Suite 204
Miami Lakes, FL 33014-2437
Phone
(305) 828-8229
Fax
(305) 828-8413
NPI assigned
Jul 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Authorized official

Name
Dr. Roberto Urquiza, MDNPI 1225038151
Title
President
Phone
(305) 828-8229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME75782 FL Primary

Addresses

Primary practice location

5801 NW 151St St
Suite 204
Miami Lakes, FL 33014-2437

Mailing address

5801 NW 151St St
Suite 204
Miami Lakes, FL 33014-2437
Phone (305) 828-8229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110524000850 FL Part B Supplier - Clinic/Group Practice 6800072901 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Lakes, FL

National Provider Directory

National Provider Directory

Locations

5801 NW 151st St
Ste 204
Miami Lakes, FL 33014
Phone (305) 828-8229

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1093026361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 NW 151ST ST",
            "address_2": "SUITE 204",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142437",
            "telephone_number": "305-828-8229",
            "fax_number": "305-828-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 NW 151ST ST",
            "address_2": "SUITE 204",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142437",
            "telephone_number": "305-828-8229",
            "fax_number": "305-828-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTO URQUIZA M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "URQUIZA",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-828-8229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME75782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.