Active NPI
Veruchka Roque
- Specialist
- Port St Lucie, FL
National Provider Identifier
1154571594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- NYS TRANSITIONAL B
- Practice address
- 3626 SW Europe St
Port St Lucie, FL 34953-5110 - Phone
- (718) 869-3904
- NPI assigned
- Sep 23, 2008
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | NYS TRANSITIONAL B | NY | Primary |
Addresses
Primary practice location
3626 SW Europe St
Port St Lucie, FL 34953-5110
Mailing address
3626 SW Europe St
Port St Lucie, FL 34953-5110
Phone (718) 869-3904
Other names 1
- Veruchkaroque Blair
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 |
|---|---|---|---|
| NYS TRANSITIONAL B | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222128000000",
"number": "1154571594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3626 SW EUROPE ST",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349535110",
"telephone_number": "718-869-3904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3626 SW EUROPE ST",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349535110",
"telephone_number": "718-869-3904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROQUE",
"first_name": "VERUCHKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-23",
"last_updated": "2008-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "NYS TRANSITIONAL B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VERUCHKAROQUE",
"last_name": "BLAIR",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.