Active NPI
Madelyn Roque Garcia
- Family Nurse Practitioner
- Pembroke Pines, FL
National Provider Identifier
1356138911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11039896
- 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, 2026
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11039896 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Primary Care Nurse Practitioner
- Pembroke Pines, FL
- NPI 1104774264
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.