Individual provider Active NPI

Roberto Patarca, MD, PHD

  • Internal Medicine Physician
  • Sunny Isles Beach, FL
National Provider Identifier
1336370345
Registry record updated Aug 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 75294 Issued in FL
Practice address
16445 Collins Ave Apt 328
Sunny Isles Beach, FL 33160-4562
Phone
(305) 940-9047
Fax
(305) 354-4707
NPI assigned
Aug 7, 2009
Last updated
Aug 7, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2009

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 ME 75294 FL Primary

Addresses

Primary practice location

16445 Collins Ave Apt 328
Sunny Isles Beach, FL 33160-4562

Mailing address

16445 Collins Ave Apt 328
Sunny Isles Beach, FL 33160-4562
Phone (305) 940-9047

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
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
ME 75294FLMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249603200000",
    "number": "1336370345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16445 COLLINS AVE APT 328",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331604562",
            "telephone_number": "305-940-9047",
            "fax_number": "305-354-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16445 COLLINS AVE APT 328",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331604562",
            "telephone_number": "305-940-9047",
            "fax_number": "305-354-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATARCA",
        "first_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-07",
        "last_updated": "2009-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 75294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunny Isles Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; 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.