Individual provider Active NPI

Roberto Urquiza, MD

  • Internal Medicine Physician
  • Miami Lakes, FL
National Provider Identifier
1225038151
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME75782 Issued in FL
Practice address
5801 NW 151St St
Suite 204
Miami Lakes, FL 33014-2437
Phone
(305) 828-8229
Fax
(305) 828-8413
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 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

Other identifiers 1

IdentifierTypeStateIssuer
254448201MedicaidFL

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
I20110608000832 FL Practitioner - Internal Medicine 9436335536 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Jun 1, 2019 Accepting new patients
MD Now Medical Centers Inc CurrentSince Jun 1, 2019 Accepting new patients
Roberto Urquiza M D P a CurrentSince May 16, 2011 Accepting new patients
South Florida International Cardiology Consultants Inc Internal Medicine Past Accepting new patients

Locations

601 Linton Blvd
Delray Beach, FL 33444
Phone (561) 276-2270

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

2750 Coral Way
Miami, FL 33145
Phone (305) 569-9942

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

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409

Interoperability endpoints

  • Direct secure messaging: premiercareassociates.robertourquiza@131763.advancedmd-direct.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1225038151",
    "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": {
        "last_name": "URQUIZA",
        "first_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME75782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254448201",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.