Masiel Roque Lopez, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-128042 Issued in FL

Practice address

6481 SW 163Rd CT
Miami, FL 33193-4425

Phone

(786) 838-2128

NPI assigned

Nov 23, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1255098331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6481 SW 163RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331934425",
            "telephone_number": "786-838-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6481 SW 163RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331934425",
            "telephone_number": "786-838-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROQUE LOPEZ",
        "first_name": "MASIEL",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-128042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111874300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMAIL",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "HOME",
            "address_1": "6481 SW 163rd Ct",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331934425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maria Laura Roque Hernandez
• Maria De Jesus Roque Herrera
• Gustavo Roque Landin
• Roxana Roque Leon
• Graciela Roque Linares
• Chavely Roque Martinez
• Elaine Maria Roque Martinez
• Zuleida Roque Mesa, RBT
• Isaias Roque Montero
• Bertha Maria Roque Morejon

• Behavior Technician in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.