Active NPI
Yaraimy Erilian Roque
- Health & Wellness Coach
- Davie, FL
National Provider Identifier
1295523991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 5400 S University Dr Ste 203
Davie, FL 33328-5309 - Phone
- (305) 889-8839
- NPI assigned
- Apr 30, 2025
- 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 |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | Primary |
Addresses
Primary practice location
5400 S University Dr Ste 203
Davie, FL 33328-5309
Mailing address
2900 NW 21St CT Apt 203
Miami, FL 33142-6098
Phone (305) 889-8839
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1295523991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 NW 21ST CT APT 203",
"city": "MIAMI",
"state": "FL",
"postal_code": "331426098",
"telephone_number": "305-889-8839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 S UNIVERSITY DR STE 203",
"city": "DAVIE",
"state": "FL",
"postal_code": "333285309",
"telephone_number": "305-889-8839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROQUE",
"first_name": "YARAIMY",
"middle_name": "ERILIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-30",
"last_updated": "2025-09-11",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.