Yamile Vidal Rozas, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

57268 Issued in FL

Practice address

2933 W Columbus Dr
Tampa, FL 33607-2215

Phone

(813) 875-2068

NPI assigned

Aug 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Yamile Enid Vidal Soto Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Neurology Clinic of Tampa LLC

  • Neurology Physician
  • Tampa, FL
  • NPI 1184971467
  NPD (past) Authorized official

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1164614863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2933 W COLUMBUS DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336072215",
            "telephone_number": "813-875-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 W COLUMBUS DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336072215",
            "telephone_number": "813-875-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZAS",
        "first_name": "YAMILE",
        "middle_name": "VIDAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "57268",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN11118",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YAMILE",
            "last_name": "VIDAL SOTO",
            "middle_name": "ENID",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Royalty Renovations Inc Dba
• Deborah Royse
• Nicole C Rozario, AGNP-C
• Carlos J Rozas, MD
• Daniel A Rozas, MD
• Rpa Healthcare LLC
• RPH Solution Inc (Bell Pharmacy 003 LTC)
• RPH Solution Inc
• RPM Physical Therapy Inc
• RR Al Care Group Limited Partnership (Horizon Traditions at Raider Ranch)

• Neurology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.