Individual provider Active NPI

Madelyn Roque Garcia

  • Family Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1356138911
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11039896 Issued in FL
Practice address
2221 N University Dr
Pembroke Pines, FL 33024-3603
Phone
(728) 205-1544
Fax
(728) 666-0737
NPI assigned
Apr 24, 2025
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11039896 FL Primary

Addresses

Primary practice location

2221 N University Dr
Pembroke Pines, FL 33024-3603

Mailing address

8630 NW 11TH CT
Pembroke Pines, FL 33024-4812
Phone (786) 414-6546

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260415001198 FL Practitioner - Nurse Practitioner 4385155787 Practice locations: Pembroke Pines, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2221 N University Dr
Suite B
Pembroke Pines, FL 33024-3603
Phone (728) 205-1544

8630 NW 11TH CT
Pembroke Pines, FL 33024-4812

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11039896FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Corinthians Primary Care and Wellness LLC Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1356138911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8630 NW 11TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330244812",
            "telephone_number": "786-414-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 N UNIVERSITY DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243603",
            "telephone_number": "728-205-1544",
            "fax_number": "728-666-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROQUE GARCIA",
        "first_name": "MADELYN",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-04-24",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11039896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.